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2025-26 TESTIMONY THEATER CLEVELAND REGISTRATION FORM

2025-26 TESTIMONY THEATER CLEVELAND REGISTRATION FORM

Please complete the form below. Required fields marked with an asterisk *

2025-26 TESTIMONY THEATER CLEVELAND REGISTRATION FORM

STUDENT INFORMATION

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Date of Birth*

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Grade as of September 2025*

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Student Phone*

Number Required

Student Email*

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Student School*

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Jewish Experience (please check these that apply)*

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MJDS

GSDS

Fuchs Mizrachi

Synagogue School

NFTY

USY

Bnei Akiva

BBYO

NCSY

IsraelNow trip

Jewish Camp

Other:

Synagogue *

Answer required for "Synagogue "

PARENTS INFORMATION

Parent 1 First Name*

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Parent 1 Last Name*

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Parent 2 First Name*

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Parent 2 Last Name*

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Parent 1 Phone*

Number Required

Parents 2 Phone*

Number Required

Parent 1 Email*

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Parents 2 Email*

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Address*

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City*

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State*

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Zip Code*

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In Case of Emergency, Person to Contact (If Not Parents)*

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PARENT OR GUARDIAN SIGNATURE

Parent or Guardian, Print Your Name and Date*

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Confirmation Email

Confirmation Email *

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akiva for teens

26500 Shaker Boulevard, Cleveland Phone: (216) 367-1388 [email protected]

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@akiva For teens offers fun opportunities for cleveland teens to explore and strengthen their jewish identity and love for israel, while fostering everlasting friendships

From israel advocacy, leadership training and college prep for jewish students to original jewish theater, @akiva offers hebrew and so much more!

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