Teens - Congregation Beth Evergreen

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Teen Programs

Madrichol (Youth Teachers)

Gain experience & community service hours by assisting classroom teachers and director of education in activities including small group and individual instruction, lesson planning and leading, classroom set up and clean up. Can accommodate extra-curricular activity scheduling conflicts with advance notice at Congregation Beth Evergreen or the satellite HaMakom Baderech. Interested students contact Elizabeth Moore.

Rosh Chodesh/Shevet

CBE is forming our Moving Traditions teen groups for the fall. Through Rosh Hodes and Sheveth, we bring together Jewish teen girls and teen boys in small, single-gender groups where you can speak freely about relationships, gender, stress, school, and anything else that’s on your mind—while having a good time and making great friends. Contact Elizabeth Moore to learn more or sign up below!

NOTICE:
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in multiple payments (ie, monthly)
with a method other than credit card (ie, check or EFT on file)

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Family Information

Parent First Name

Parent Last Name

* Email

Cell Phone Number

Home Phone Number

Work Phone Number

Address

Address Line 2

City

ZIP

Does Parent 2 have a different address?

NoYes

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Mobile

Parent 2 Work Phone

Parent 2 address

Parent 2 City

Parent 2 State

Parent 2 Zip

Emergency Contacts

Emergency Contact 1

Emergency Contact 1 Phone

Relation to Emergency Contact 1

Participant Information

Click the "+" to add a participant.

Student Information

First Name

Last Name

Which program are you signing up for?

Shevet (boys)Rosh Hodesh (girls)

Birthdate

Age

Grade in Sept 2023

Registering for...

Youth Program: 1st Child ($200)Youth Program: Additional Children ($180)Please select the first option for your first child, and then the second option for each additional child.

Allergies

Medications

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.

Digital Signature

Today's Date

If you are paying: