Youth Group Registration 2020-2021

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Youth Group Registration Form
2020-2021

* SELECT PROGRAM FOR WHICH YOU ARE REGISTERING

First Name

Last Name

Grade as of September 2020

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 #):

Fri, April 26 2024
18 Nisan 5784

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Fri, April 26 2024 18 Nisan 5784

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Contact Us

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

(516) 938-8390

Directions

Email Us

Emergency Contact

Rabbi Levenson: (203) 645-3588

Upcoming Events

All Events

Sunday ,
MayMay 5 , 2024

Men's Club Meeting
Sunday, May 5th 9:30a to 10:30a

MORE INFO
Tuesday ,
MayMay 7 , 2024

Hearing Men's Voices
Tuesday, May 7th 8:30p to 10:00p

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Friday ,
MayMay 10 , 2024

Midway's Shabbat Together
Friday, May 10th 5:30p to 6:15p

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Thursday ,
MayMay 16 , 2024

Sisterhood Book Club
Thursday, May 16th 6:30p to 8:00p

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Sunday ,
MayMay 19 , 2024

Men's Club FJMC Award Brunch
Sunday, May 19th 11:00a to 3:00p

MORE INFO

View Calendar

Shabbat Times

Candle Lighting

Friday, Apr 26, 7:28pm

Havdalah

Motzei Shabbat, Apr 27, 8:29pm

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