Youth House Breakfast Run - Teen Volunteer - Form

Youth House Breakfast Run - Teen Volunteer

Join us for BREAKFAST RUN!
April 7, 2024

To streamline our process, please login to your ShulCloud account before filling out this form. Parents who are signing up for teens can select a child who already exists in your account. Thank you for filling out this form for every individual teen volunteer participating in the Run. Parents signing up siblings will need to complete the form multiple times.

Breakfast Run volunteers can be in 7th-12th grade.

* Teen First Name

* Teen Last Name

* Teen Cell Phone

Teen Email Address

Are you a member of Temple Israel and/or Youth House participant?

* Parent First Name

* Parent Last Name

* Parent Cell Phone

* Parent Email Address

Parent First Name

Parent Last Name

Parent Cell Phone

Parent Email Address

* Allergies or other important medical information

Please do not list parent(s) listed above as emergency contact.

* Emergency Contact

* Emergency Phone

Emergency Contact

Emergency Phone

* I agree to the following:

I agree to the following:

I give permission for my teen to participate in the Breakfast Run with Temple Israel's Waxman Youth House. Teens will be driven by parent volunteers.
I give Temple Israel permission to use photos of my teen in its publicity such as in the Voice, on the TIGN website, in local newspapers, etc.
I have explained the behavioral expectations of participation in this volunteer opportunity to my teen.

Mon, April 29 2024 21 Nisan 5784