Parenting Your Teen
2013 Registration Form
 
   

Tuition: $155 per person, $250 per couple.
Scholarships available

More information
Raylea Pemstein
617-559-8708
rpemstein@hebrewcollege.edu


Please note: * fields are required


REGISTRANT #1 INFORMATION
*First Name
*Last Name
*Address
 
*City/State/ZIP    
*Email
*Daytime Phone
 

REGISTRANT #2 INFORMATION
First Name
Last Name
  If different from above:
Address
 
City/State/ZIP    
Email
Daytime Phone
 

SITE SELECTION
ACTON-CONCORD
Congregation Beth Elohim, Acton, and Congregation Kerem Shalom, Concord
Sundays, 10-11:30 a.m.
Starts March 17, 2013
 
LEXINGTON
Temple Emunah
Wednesdays, 6–7:30 p.m.
Starts Jan. 16, 2013
 
NEWTON
Hebrew College
Wednesdays, 7:30–9 p.m.
Starts April 10, 2013
 
WALTHAM
Gann Academy
Wednesdays, 8–9:30 a.m.
Starts March 6, 2013
 
WINCHESTER
Temple Shir Tikvah
Sundays, 9:45-11:15 a.m.
Starts March 3, 2013
 

PHOTO WAIVER
*I understand that my picture may be taken at this event, and I agree to its use on the website or in other promotional materials.
 

CREDIT CARD INFORMATION
*Number of registrants
*Select card type
*Name as it appears on card
*Card number
*Security code
*Expiration date

 

COMMENTS
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Form may take several minutes to process. To avoid multiple registrations, please do not click "Submit" more than once.