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GAN 2024

NOTICE:
If you are paying:
  • in multiple payments (ie, monthly)
  • with a method other than CC or EFT on file (ie, check)
You MUST be logged into the website. Do not fill out this form until you are logged in.

Family Information

Emergency Contacts

Student Information

Click the "+" to add a student.
Student Information
The books and supplies fee is mandatory.
Emergency Release

In the event of an emergency, I hereby give permission to Congregation Beth Evergreen or its agent to hospitalize and/or secure proper treatment for my child as named in this registration form.

Field Trip Release

I authorize my child (listed above) to leave Beth Evergreen for Field Trips with adequate supervision and advanced notice.

Photo and/or Video Release Authorization Form

Photos and/or videos will be taken of students, student activities, etc. I authorize the use of photos and videos of my child (listed above) for news releases, the synagogue website, facebook, school-related video and slide presentations, marketing purposes, Shofar, Newsletter etc.

If you are paying:
  • in multiple payments (ie, monthly)
  • with a method other than CC or EFT on file (ie, check)
You MUST be logged in and you MUST choose "Bill to My Account" on the next screen.
Mon, January 20 2025 20 Tevet 5785