Madrichim Training Form 2025

MailChimp Tag / Form Name
Memo
Notes to internal Federation professionals
Greater MetroWest Madrichim – Teen Advocate Training Program

This program trains and teens interested in facilitating inclusive environments for youth with disabilities in our Greater MetroWest area synagogues, recreational programs, and camps. Teens will learn how to create opportunities for all individuals to participate meaningfully in Jewish experiences.
Name*

First NameLast Name
Email*

Confirmation EmailConfirm email address
Mobile Phone Number*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Grade as of Fall 2025*
Congregation/ Program you will be supporting*
Program Professional*

First NameLast Name
Program Professional Email*
example@example.com
I understand that my/our picture may be taken at this event and it may appear on various channels, including social media and the Federation website.
paymentData
The information in the 'paymentData setup' field is copied into this short text field so it can be selected as a 'custom data field' in the Stripe integration settings of the payment field. The 'paymentData setup' field (a Form Calculation field) is used to combine the necessary data for ease of use. However, since the payment widget only allows short text fields as options, the data must be transferred accordingly.
paymentData setup
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Should be Empty:

Greater MetroWest Madrichim – Teen Advocate Training Program