Teen - Eldridge St Museum in NYC on 3/10/24 - Form

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Teen - Eldridge St Museum in NYC on 3/10/24

PLEASE NOTE: To pay via eCheck/ACH (no fee), you must first be logged in your online Beth El account (for those who have one) at www.bethelnr.org. Otherwise, your only option will be to pay via credit card (2.9% fee).

* Teen First Name

* Teen Last Name

* Teen Cell Phone Number

Teen Email (that you use for Zoom)

* Emergency Contact Name

* Emergency Contact Phone Number

* The Cost per person is $50.

Please fill out this form for one individual at a time and then restart the form for a second person.

Allergies

Please list any food allergies/sensitivities or anything else we may need to know.

I understand that the group will be taking public transportation to and from NYC.

I understand that the group will be taking public transportation to and from NYC.Check here to confirm you understand that and are comfortable with the group taking public transportation to and from NYC.

I am a parent or guardian interested in chaperoning this experience.

Please leave your email here if you are a parent or guardian (or individual over the age of 21) interested in chaperoning this experience so that Bekkah can reach out to you.

* Email Address

FOR OFFICE ONLY

Thu, October 9 2025
17 Tishrei 5786

Thu, October 9 2025 17 Tishrei 5786

1324 North Avenue, New Rochelle, NY 10804
(914) 235-2700
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