EmailMe Form - Teen Art Connect (TAC) Membership Form

Complete this form to receive your free TAC membership.

If you have questions, please contact teens@thecjm.org.

Name *

First Last

Date of Birth *

xx/xx/xx

Home *

### - ### - ####

Cell Phone

### - ### - ####

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent/Guardian Name *

First Last

School Name *

Where did you hear about the TAC Membership program?

Supporters

Teen Programs are made possible by major support from The Covenant Foundation, The Hearst Foundations, U.S. Bank Foundation, and California Arts Council. These programs are part of the Jewish Teen Education and Engagement Initiative (Teen Initiative), a project of the Jewish Community Federation and Endowment Fund, with support from the Jim Joseph Foundation and a consortium of local funders. Additional support is provided by the Miranda Lux Foundation and Ira A. Roschelle M.D. Family Foundation.