Madrichim Brit

* First Name

* Last Name

* E-mail

* Phone

* I have read the Madrichim Information Sheet

I have read the Madrichim Information Sheet

* I understand and agree to all of the expectations for Madrichim participation and behavior.

I understand and agree to all of the expectations for Madrichim participation and behavior.

* My parent has read the Madrichim Information Sheet and/or attended the Madrichim information meeting.

My parent has read the Madrichim Information Sheet and/or attended the Madrichim information meeting.

* Check one of the following

Please Select OneI will be a full-time unpaid madrich/a this year.I will be participating in certain Sundays only.I am eligible to be a paid madrich/a this year and will be participating full-time.

* Signature

Fri, January 21 2022 19 Sh'vat 5782