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Youth Programs

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

Family Information

Emergency Contacts

Participant Information

Click the "+" to add a participant.
Student Information
Please select the first option for your first child, and then the second option for each additional child.
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.

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 credit card (ie, EFT on file or check)
You MUST be logged in and you MUST choose "Bill to My Account" on the next screen.
Thu, April 25 2024 17 Nisan 5784