West Bagel Brunch Kickoff
October 5, 2025
Join West YJ Teens in the LA area for a bagel brunch to kick off our year!
When:
Sunday, October 5, 2025, 11:30am-1:30pm
Where:
West Hills, CA
(Exact address provided with registration)
Cost:
Free!
To complete this form, you will need:
Registering participant's and parent's contact information
Participant Registration Information
Participant First Name
Participant Last Name
Participant Birthdate
Participant Pronouns
Participant Email
Participant Cell Phone
Participant Address
City/ Town
State
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Zip Code
Current Grade:
Please select...
8th Grade
Freshman (9th Grade)
Sophomore (10th Grade)
Junior (11th Grade)
Senior (12th Grade)
Did you go on Gesher in 2025? (Gesher is Young Judaea's Israel summer program for rising juniors and seniors)
Yes
No
Have you attended a YJ Year Round program before?
Yes
No
Which summer camps did you attend? (Please select all that apply)
CYJ Sprout Lake
CYJ Midwest
CYJ Texas
Camp Judaea
Tel Yehudah
How did you find out about this event?
Health and Medical Form
Dietary Restrictions?
None
Vegetarian
Vegan
Pescatarian
Dairy Free
Gluten Free
Glatt Kosher
Other
Please describe your dietary restrictions:
Please list all allergies, including any allergies to food and/or medicine:
Parent Information and Photo and Video Consent
Parent First Name
Parent Last Name
Parent Email
Parent Cell Number
Choose if you do/do not give Young Judaea permission to use photos and videos of your child in promotional materials:
Yes, I give permission for Young Judaea to use photos and videos of my child in promotional materials
No, I do NOT give permission for Young Judaea to use photos and videos of my child in promotional materials
Parent Full Name
Date
Contact Information