Youth Group Registration 2019-2020

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Youth Group Registration Form
2019-2020

* SELECT PROGRAM FOR WHICH YOU ARE REGISTERING

First Name

Last Name

Grade as of September 2019

Primary Address Line 1

Primary Address Line 2

City

State

Zip

Age

Birthday

Gender

School:

Cell phone:

E-Mail Address:

Home Phone:

Parent E-Mail Address:

Would parent like to be on email list?

Is your family a member of Midway Jewish Center?

Emergency Contact:

First Name

Last Name

Cell phone:

Relationship to Youth Group Member:

Other Phone:

Registrant hereby consents to the use of their photograph, likeness, or other depiction on the MJC website or in other MJC Promotional material

Medical Insurance Information (company and policy #):

Mon, March 30 2020
5 Nisan 5780

Mon, March 30 2020 5 Nisan 5780

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Contact Us

Midway Jewish Center
330 S. Oyster Bay Road
Syosset, NY 11791

516-938-8390

Directions

Email Us

Emergency Contacts

Rabbi Rafi: (516) 404-7210
Rabbi Levenson: (203) 645-3588

Upcoming Events

All Events

Tuesday ,
MarMarch 31 , 2020

ONLINE Religious School minha service
Tuesday, Mar 31st 4:15p to 4:45p

MORE INFO
Tuesday ,
MarMarch 31 , 2020

Religious School Hebrew Classes
Tuesday, Mar 31st 4:45p to 6:00p
Religious School Hebrew Classes. Email Lisa for specific class information at lstein@mjc.org
MORE INFO
Tuesday ,
MarMarch 31 , 2020

Online Tichon Hebrew High/ 7th Grade
Tuesday, Mar 31st 7:30p to 8:00p
Tichon Hebrew High Online
MORE INFO
Wednesday ,
AprApril 1 , 2020

ONLINE Religious School minha service
Wednesday, Apr 1st 4:15p to 4:45p

MORE INFO
Wednesday ,
AprApril 1 , 2020

Religious School Hebrew Classes
Wednesday, Apr 1st 4:45p to 6:00p
Religious School Hebrew Classes. Email Lisa for specific class information at lstein@mjc.org
MORE INFO

View Calendar

Shabbat Times

This week's Torah portion is Parshat Tzav

Candle Lighting

Friday, Apr 3, 7:04p

Havdalah

Motzei Shabbat, Apr 4, 8:05p