Teen Board 2025/2026

North York Jewish Teen Board 2025/2026Application

Fill out the form carefully for registration | Meetings will take place at the Lipa Green Centre at Shepperd and Bathurst
Applicant Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant E-mail
example@example.com
Applicant Cell Number
Format: (000) 000-0000.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Cell Number*
Format: (000) 000-0000.
Parent/Guardian Home Number
Format: (000) 000-0000.
Applicant Grade*
Applicant has attended a CYJ Program or camp in the Past*
Not required for participation in Teen Board
Please list any food allergies
9101112
Name of school you will attend starting September 2025?*

North York Jewish Teen Board 2025/2026Application