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Monday, November 25, 2024 - 24 Cheshvan 5785
 
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Contact Information

First Name:*
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Email Address:*  
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What would you like to volunteer for?:  

Friends@Home

Holiday Programs

Sunday Circle

Driver

Event Planner


Parent Information (for teens)


Father's Name:  
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Father's Cell Phone:  
Mother's Name:  
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Mother's Cell Phone:*

 Other Information

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Do you have any allergies? If yes, please specify.    
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Friends @ Home

Would you like to volunteers at a special needs child's home?
1st choice      
Day of the week: Time:
       
2nd choice      
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I  have reviewed this form and agree to my teen participating in The Friendship Club.

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2001 W. Swann Ave. Tampa, FL 33606 - Rabbi Lazer Rivkin, Regional Director - 813-966-8770
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