G2 Participating Family Application
GRANDCHILD INFORMATION
How many children participants are you applying for in your family?
*
Grandchild Name
*
Date of Birth
*
Grade Level for the 2020-2021 school year
*
Cell Number
*
Address
*
2nd Grandchild Name (If applicable)
2nd Grandchild Date of Birth
2nd Grandchild Cell Number (If applicable)
2nd Grandchild Address (If applicable(
GRANDPARENT INFORMATION
How many grandparents are applying to participate?
*
Grandparent Name
*
Grandparent Email
*
Grandparent Cell Number
*
Grandparent Address
*
2nd Grandparent Name (if applicable)
2nd Grandparent Email (if applicable)
2nd Grandparent Cell Number (if applicable)
2nd Grandparent Address (if applicable)
PARENT/GUARDIAN INFORMATION
Parent/Guardian First and Last Name
*
Parent/Guardian Email
*
Parent/Guardian Cell Number
*
Parent/Guardian Address
*
How would you describe your level of involvement with the Jewish Federation of Broward County?
*
Why do you want to participate in G2?
*
Photo Waiver: I know that my photo may be taken at this event and it may appear on the website or in a brochure.
*
Yes
No
I understand that airfare is NOT included in the program fee.
*
Yes
No
Please print, sign, scan and email to Lital at ldonner@jewishbroward.org
Signature Required:
Submit
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