JRA B'nai Mitzvah Program

JRA B'nai Mitzvah Program

Thank you for your interest in completing your B'nai Mitzvah service project at JRA! Use this form to get started.
Name of B'nai Mitzvah

First NameLast Name
B'nai Mitzvah Student Pronouns
For more information about personal pronouns, see https://www.mypronouns.org/
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Parent/Guardian 1

First NameLast Name
Parent/Guardian 1 Email Address
example@example.com
Parent/Guardian 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of Parent/Guardian 2

First NameLast Name
Parent/Guardian 2 Email Address
example@example.com
Parent/Guardian 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Have you volunteered at JRA before?
Date of B'nai Mitzvah

MonthDayYear
Date
Name of B'nai Mitzvah Synagogue
Name of B'nai Mitzvah School
T-Shirt Size (Adult sizes)
How will you be completing your project? B'Nai Mitzvah Projects requires 10 hours of volunteer service. Please select from this list which volunteer activities you will complete to reach 10 hours of service. (Food distributions are ~3 hours, 3 Distributions = 10 hours).

Other
Which Food Distributions will you be attending?
What area would you like to deliver in? (Choose as many as apply)
Additional comments or questions?
Should be Empty: