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Youth Group Application 2019-20

IF YOU ARE A MEMBER, PLEASE LOGIN.

This will insure proper credit to your account. Login at the top right corner. If you are accessing this form through your phone, click the 3 line menu at the top right corner.

We have an exciting year planned for our youth groups in 2019-20. Please fill out the information below to join our youth groups, grades K - 12.

  • Bonim (K - 2nd grade)

  • Machar (3rd - 5th grade)

  • Kadima (6th - 8th grade)

  • USY (9th - 12th grade)

If you have any questions, please contact the BSO office at 301.774.0879.

Child 1 Information

 

This year Bonim and Machar registration fees include youth group membership and activity expenses.  Kadima and USY registration fees cover membership only.


Child 2 Information

This year Bonim and Machar registration fees include youth group membership and activity expenses.  Kadima and USY registration fees cover membership only.


Child 3 Information

This year Bonim and Machar registration fees include youth group membership and activity expenses.  Kadima and USY registration fees cover membership only.




Guardian 1 Information


Guardian 2 Information


To Be Completed by a Parent/Guardian:

Does your child have any allergies or medical conditions that require special medication or attention?

Any other medical conditions we should be aware of?


If parents are unable to be reached in an emergency, please contact the following:


Please provide the following insurance information:



Permission/Release:

I give B'nai Shalom of Olney (BSO) my permission to use pictures of my child at events for BSO publicity and communication. (If box is not checked 'YES', your child's picture will not be featured in any BSO publications.)

I give my child(ren) permission to attend and participate in B'nai Shalom of Olney's Youth Department activities. I hereby authorize the supervisory person present to grant approval for treatment in an emergency. BSO shall not be liable or responsible for any injury or loss suffered by or to any participant in this activity while the participant is attending or engaged in this activity or in transit to or from the activity, whether such injury or loss is caused by the negligence of any agent, employee or any other person acting on behalf of BSO.

Sun, February 16 2020 21 Shevat 5780