High School Community Service Program

Name*

First NameLast Name

Mobile Phone Number*

Area CodePhone Number

E-mail*

Address*

On my Bubby / Zaidy calls, I would like to*You can choose more than one option and do different types of activities each week

Read a Jewish story togetherDo a pre Shabbat celebration togetherStudy a Parsha sheet togetherCook or bake something together

I would like to volunteer on*

I would like to volunteer during*

MorningsAfternoonsEveningsI'm flexible

Please note that photos may be used for promotional or publicity purposes.

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