JTCares with JCL -                                      Sunday, February 12, 2017
Join us for JTCares with "Cooking for a Cause"

Sunday, April 2, 2017

12:30 pm - 4:00 pm

Mandell JCC
335 Bloomfield Avenue
West Hartford, CT 06117

Open to grades 7 to 12

$15.00 per person
Includes: lunch, learning & community service project.

We will have our own lunch and discussion, participate with members of the JCC in a service project called "Cooking for a Cause" where we will be raising awareness to Hunger; while also learning culinary skills from Chef Lindsay Perkins. Meals prepared on Sunday will be donated to Hands on Hartford for their community kitchen for local Hartford residents in need. We will hand out community service certificates at the conclusion of the program.

Community Service Certificates will be issued at the end of the session to those that need them.

JTCares is about Learning AND Doing.

To register, fill out the form below.

To pay online:

Please make sure the form below is filled out and you hit the submit button before you use the pay link.  

For more information, contact:

JTConnect at 860.727.6110 or marcus@jtconnect.org


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First Name: *
Last Name: *
Grade: *
Date of Birth: *
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Address: *
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I am Lactose Intolerant: *
I have the following food allergies:
If none, please type N/A
Teen Cell: *
Teen E-mail Address
I would like a Community Service Certificate at the conclusion of the program: *
Parent Name(s): *
Home Phone: *
Parent Cell: *
Parent E-mail Address: *
Emergency Contact (other than Parent)
In case of emergency, please contact: *
Relationship: *
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Medical Information
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Is your child taking any medication?  If so, what?   *
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If there are any medical issues that we should know about your child, please detail them below:
Emergency Authorization:
I hereby give permission to the medical personnel selected by the Director and staff of Jewish Teen Learning Connection to order X-Rays, routine tests, and treatment for my child, & in the event I cannot be reached. In an emergency, I hereby give permission to the physician selected by the director to hospitalize, secure proper treatment & to order injections and/or surgery for my child named above. I hereby authorize Jewish Teen Learning Connection’s director, staff and chaperones to consent for medical treatment for my child named above if such need arises en route to, from or during the trip and I/we cannot be reached for consent.
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Authorization to use Photographs & Video
JTConnect routinely utilize photographs & video of our students to promote & highlight the school & the achievements of our students. Please check the appropriate box & sign below
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CODE OF CONDUCT FOR ALL PARTICIPANTS
1.) Cooperation with all staff.  Each participant shall fully cooperate with every staff person, including volunteer staff persons, and shall otherwise adhere to all rules established for the event.

2.) Possession or use of any weapons, alcohol, tobacco products and/or illegal drugs is not permitted at the event.

3.) Observance of civil/criminal law.  No participant or staff shall violate any civil or criminal law, including but not limited to those related to tampering of or destruction to property, and destruction of one's own or another person's physical and/or mental health, safety and welfare.  Inappropriate or unwelcome physical contact or language, indecent attire or public nudity, shall not be permitted.

I have read and agree to abide by the above Code of Conduct.
Participant's Signature: *
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Parent's Signature: *
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PERMISSION
I give my child who is named above permission to attend JTConnect / JTCares at the Mandell JCC in West Hartford on Sunday, April 2, 2017. I understand that he/she will participate in lunch and learning program.  I hereby release Jewish Teen Learning Connection of any liability in case of accident during this event. My child is responsible for any damage he/she does or that occurs during the program.
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