The event will take place at a location in the Mission Dolores neighborhood in San Francisco. Exact location will be emailed to all registrants.
Keshet presets in partnership with BBYO and the JCCSF teen leaders day-long workshop for all LGBTQ and ally teens to celebrate and provide visibility for trans and non-binary teens. This program is FREE and is open to all LGBTQ teens and allies who want to connect through learning, art, performance, and community!   

This event is made possible by The Jewish Teen Education and Engagement Initiative (Teen Initiative). The Teen Initiative is a project of the Federation, in partnership with Jewish Federation and The Jewish Community Foundation of the East Bay, and with support from the Jim Joseph Foundation.
Your Contact Information


We respect your privacy and will not share your personal information.



We require this name on record for emergency purposes.
We will not use this publicly.






Address







This field is optional, but encouraged!We use email addresses to communicate about day-of logistics and to share Keshet upcoming events and resources!
Additional Registration Information
Why do we ask these questions?
We use the answers to these questions so that we can better serve YOU. We use this information to make sure that you hear about events and programs exclusively for people your age!


Your Birthday










There will be an uber code sent to you

Register Your Family!


Family Member Information
This field is optional, but encouraged!
We use email addresses to communicate about day-of logistics and to share Keshet resources and upcoming events!

Emergency Contact Information



Photo Release Agreement

The Photo Release only applies to you and not to any others you are registering through this form.
*Keshet's program partners include: Jewish Community Center of the East Bay

You AND your parent/guardian will need to electronically sign our Photo Release Agreement. 
Please note that your parent/guardian will receive an email with your registration confirmation and your photo permissions agreement. Your preferred name will not be included in this email.

Keshet Photo Release Agreement
As an organization working with the LGBTQ and ally community, Keshet takes its responsibility to maintain privacy very seriously. As such, we require written consent from participants, or their legal guardians if participant is a minor, before using photos or videos of participants.

Location: San Francisco, CA
Date: Sunday, March 31st, 2019

I authorize KESHET and the aforementioned program partners to use, in whole or in part, my name, likeness, image, voice, biography, interview and performance in connection with the Keshet Teen Trans Day Of Visibility Celebration, in all manner and media, as KESHET and the aforementioned program partners shall determine in its sole discretion. KESHET and the aforementioned program partners, and their successors and assigns, shall own all right, title and interest, including the copyright(s), in and to the Keshet Teen Trans Day Of Visibility Celebration, to be used and disposed of throughout the world in perpetuity without limitation as KESHET and the aforementioned program partners shall determine in their sole discretion.



Please write your full name, which will serve as your electronic signature.


Please write your full name, which will serve as your electronic signature.


We will send a confirmation email to your parent/guardian with this agreement.


Please write your full name, which will serve as your electronic signature.
Questions? Please contact Randi Reed randi.reed@keshetonline.org or Amram Altzman amram@keshetonline.org.
Admin Fields












Page 2

About You

Welcome back!
Welcome! We're so glad you're joining us!

The following questions are optional.
We appreciate your answers to any and all questions you feel comfortable completing. Your responses help Keshet staff better serve YOU! All answers will be kept confidential.


Self-identification is important, and we understand that we each have our own understanding of the words used to describe our own experiences. So that we can best honor your identity and experiences, please describe how you identify in the free response box AND select (as many as you want) from the list below.





ex: BBYO





$
.00 USD
Credit Card Information
      




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Billing Address







Keshet

National Office

284 Amory Street
Boston, MA 02130
Phone: 617.524.9227

New York Office

601 West 26th Street
Suite 325
New York, NY 10001

San Francisco Bay Office

2 Embarcadero Center
8th Floor
San Francisco, CA 94111