2027 Youth to Israel Adventure & March of the Living Educational Trip to Poland - Info Meeting - Peabody
Join us for an informational meeting to learn more about our 2027 teen program on Sunday, October 25, 2026 from 7 p.m. to 8 p.m. in Peabody (address to be provided after registration is received).
PLEASE REGISTER BELOW
Teen Information
Teen's Legal First Name
Teen's Preferred First Name
Teen's Legal Last Name
Teen's
Birthdate
Teen's
Grade as of September 1, 2026
Name of High School Teen Attends
Teen's
Personal Email
Teen's
Cell Phone
Teen's
Mailing Street
Teen's
Mailing City
Teen's
Mailing State
Teen's
Mailing Zip/Postal Code
Parent/Guardian Information
Parent's/Guardian's First Name
Parent's/Guardian's
Last Name
Parent's/Guardian's
Email
Parent's/Guardian's
Cell Phone
Parent's/Guardian's
Mailing Street
Parent's/Guardian's
Mailing City
Parent's/Guardian's
Mailing State
Parent's/Guardian's
Mailing Zip Code
Parent's/Guardian's
Relationship to Teen
Please select...
Parent
Guardian
Grandparent
Family
Other
If other, please explain.
Add a second Parent/Guardian if applicable:
Yes
No
Second Parent/Guardian
Parent's/Guardian's
First Name
Parent's/Guardian's
Last Name
Parent's/Guardian's
Email
Parent's/Guardian's
Cell Phone
Parent's/Guardian's
Mailing Street
Parent's/Guardian's
Mailing City
Parent's/Guardian's
Mailing State/Province
Parent's/Guardian's
Mailing Zip Code
Parent's/Guardian's
Relationship to Teen
Please select...
Parent
Guardian
Grandparent
Family
Other
If other, please explain.
If you have any questions, please contact Sharon Wyner at 978-565-4450 or
swyner@lappinfoundation.org
.
Contact Information