In over 70 cities, on &#64257;ve continents, thousands of teens from all walks of life join together to discuss their identity and what being Jewish means in the 21st century.

JLI Teens Registration
Myth Busters | October 25th | 7:00 - 8:00 pm a 4 week course
October 25th & November 1st, 8th & 15th

Fee | $100 for the course. The class will be taught at Chabad of West Hills.
Parent's Information
Parent's Full Name

First Name Last Name
E-mail
Phone Number
Teen Registration
Teen Profile One Questions will appear when you select it.

Yes! I would like to register my teen.
Full Name

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Birth Date

Month Day Year
Current School
Teen Profile Two Questions will appear when you select it.

Yes! I would like to register my teen.
Full Name

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Birth Date

Month Day Year
Current School
Teen Profile Three Questions will appear when you select it.

Yes! I would like to register my teen.
Full Name

First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Birth Date

Month Day Year
Current School
Payment
How Many Teens Are Registering?* Course Price Per Teen | $100
Total

$0.00

Payment

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Postal / Zip Code

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JLI Teens Registration Form