BBYO

Teen Information

Does your teen already have an account with us?

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Teen's First Name

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Teen's Last Name

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Teen's Email

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Teen's Phone

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Teen's Zip / Postal Code

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My teen identifies their gender as:

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High School Grad Year

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I am the emergency contact for this teen.

- Or -

Parent / Legal Guardian Information

Parent / Legal Guardian Title

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Parent / Legal Guardian First Name

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Parent / Legal Guardian Last Name

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Parent / Legal Guardian Suffix

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Parent / Legal Guardian Email

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Parent / Legal Guardian Phone

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This parent / legal guardian is the emergency contact for my teen.

Is this parent / legal guardian an AZA - BBG alumnus?

Yes

No

Family Connections

Parent / Legal Guardian

Jan Ginsberg

Jan.ginsberg@gmail.com

Parent / Legal Guardian

Walter Kaufmann

wal.kaufmann@gmail.com

Add Your Teen

Teen Information

Family Connections

Parent / Legal Guardian Information

Family Connections