Student & Family Information

Please note: This registration form is also for 8th-12th graders who wish to work or volunteer as Madrichim at J-JEP.
* Indicates Response Required

Student Information

Student 1

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Student 2

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Student 3

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Student 4

 +

Parent/Guardian Information

Parent/Guardian 1 (where student resides)

Parent/Guardian 2


Grandparent Information (Optional - to receive weekly J-JEP email updates)