Are you able to attend this program at The Hive in Encinitas on Sunday, April 14, 2024 from 11:30 am - 4:00 pm?
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Email
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Phone Number
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Year in School
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Name of High School
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Parent / Guardian Name
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Parent/Guardian Email
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Parent/Guardian Phone Number
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Do you have any affiliations or involvement with any Jewish institutions or organizations outside of school (synagogues, community centers, youth groups)? Please elaborate.
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Are you involved with any groups or clubs on campus / at your current school? Please elaborate and include any positions held.
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What are you hoping to gain from attending this program?
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How did you hear about this program / Who referred you?
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Dietary Restrictions (Lunch will be provided)
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