Teen TA Registration 2020-21

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Teen TA Registration 2020-21

By filling out this form you are registering for JCA Kesher Education Teen TA programming 2020-21 academic year. Due to Covid-19 the program will be a mix of online and in person teaching opportunities, and will have a series of required zoom teaching workshops.

Please direct questions to Keren Rhodes, kerenrhodes@jcamherst.org

Teen Name*
First Last
Teen Cell
If you have one.
Teen Email*
Primary Parent/Guardian Contact Name*
First Last
Parent/Guardian Cell*
Teen's primary address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Consent to contact teen directly.*
I, the above listed parent/guardian, give the JCA permission to text/email my teen directly.