One moment please...
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Zip Code
*
Which of the following best describes your current life stage (please check all that apply):
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Adult 21-39 years old
Adult 40-55 years old
Adult 55+
Parent of Young Children (0-9)
Parent of Tweens (10-13)
Parent of Older Children (14-21)
Empty Nester
Grandparent
Retiree
Other
Are you doing this project as part of an organization or group?
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Yes
No
What is the name of your organization/group?
Including yourself, how many people will participate as part of your household or group?
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Where and when would you like to pick up your project supplies? Please note that these are our only times for project distribution and collection. Projects cannot be left at the front desk the JCC.
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Please give our staff at least 24 hours to get your kit ready for you to pick up.
Park Heights JCC: Wednesdays at 8:30 – 9:30 a.m., 12:30 – 1:30 p.m. or 4:30 – 5:30 p.m.
Owings Mills JCC: Sunday, April 14 from 10:00 – 11:00 a.m.
Owings Mills JCC: Sunday, May 19 from 10:00 – 11:00 a.m.
Please select which project bag and how many you would like to order.
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Quantity
$20
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Pencil Cases (1 project bag contaings materials for 10 pencil cases)
0
1
2
3
4
5
6
6
$20
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Seed Planting Kits (1 project bag contains materials for 10 kits)
0
1
2
3
4
5
6
6
Do you require documentation of service hours? If so, we will have a paper memo for you when you return your tote bags.
*
Yes
No
What is primarily motivating you to participate? Please choose up to two:
I like activities like this
I typically participate in activities like this
Someone encouraged me to participate
This activity aligns with my values and interests
Rising antisemitism makes me want to participate in activities like this
The war in Israel makes me want to participate in activities like this
Other
If other, please share here:
Questions/Comments: