Teen Group Membership Form

The I. L. Peretz Community Jewish School Teen Group is open to teens who have graduated from ILPCJS, or who are 13 or older and would like to join with other teens in a secular Jewish environment. A teen must a child of a Peretz Community Member. Please complete, click the “Pay Now” button at[…]

Teen 1 Name: *

Teen 1 School Grade: *

Teen 1 Email Address:

Teen 1 Cell Phone Number:

Parent Name: *

Parent Email Address: *

Home Phone Number:

Parent Cell Phone Number: *

Parent Street Address: *

City, State, Zip: *

Photo Release:

I/We permit the use of photographs that depict me/us and my/our child/children for use on the Peretz website and in Peretz marketing materials. Your consent is important to attract new members and keep our community vibrant. No names will be associated with these photos.

Potential Members:

If you know of any other teens who may be interested in learning more about the Peretz Teen Group, please add their names, phone numbers, e-mail in below box.

Number of Teens