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.
YesNoIt's been a long time
Date of B'nai Mitzvah*

MonthDayYear
Date
Name of B'nai Mitzvah Synagogue*
Name of B'nai Mitzvah School*
SMLXLXXL
Pack/Deliver at Food DistributionsCreate Caring CardsOrganize a food or supplies driveOther
Sunday, December 14, 2025Sunday, January 18, 2026Sunday February 22, 2026Sunday, March 22, 2026Sunday, April 19, 2026Sunday, May 17, 2026Sunday, June 14, 2026Sunday, July 12, 2026Sunday, August 30, 2026Sunday, October 11, 2026Sunday, November 15, 2026Sunday, December 13, 2026
Far Northeast Philly (By the JRA Warehouse)Near Northeast Philly (Oxford Circle/Mayfair Area)North PhillyCenter CitySouth PhillyWest PhillyBucks CountyMontgomery CountyDelaware CountyThe Main LineAnywhere
Additional comments or questions?
Should be Empty: