Welcome to the 2019-2020 Beth Shalom Youth Department. We have a fun and exciting year planned! Please fill out the information below for every child in your family from kindergarten to 12th grade. To ensure safety and accurate communication, youth cannot attend events without completed form.  Thank you in advance for your cooperation!

The cost for each of the groups is:
BSUSY (9th-12th grade) - $80.00 
Kadima (6th-8th grade) - $65.00
Atid (3rd-5th grade) - $36.00
Chaverim (K-2nd grade) - $18.00


Thank you,

Marissa Tait, Director of Youth Programming
Judith Kadosh, Youth Commission Chair
Adi Kadosh, BSUSY Advisor
Ethan Einhorn, Kadima Advisor

Save & Return

Use an account to return to saved work.

Family Information

* Indicates Response Required

Child Information

Child 1

Preferred Pronouns *

Child 2

Preferred Pronouns

Child 3

Preferred Pronouns

Child 4

Preferred Pronouns

Parent/Guardian Information

Parent/Guardian 1 (where student resides)

Parent/Guardian 2

Please List Two "In-Case of Emergency" individuals. *These individuals may be contacted if unable to reach a parent/guardian*