NCSY JUMP Create-A-Thon Participation Form

Please fill out the following form to confirm your attendance.

* Required

First Name *

Your answer

Last Name *

Your answer

School *

Your answer

Email *

Your answer

Phone number *

Your answer

Grade *

Freshman

Sophomore

Junior

Senior

Indicate if you would be willing to volunteer for any of the following:

Leading Tefilah

Torah Reading

Give a dvar torah (3-5 minutes)

Other:

Any dietary restrictions?

Your answer

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