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Beth El Mausoleum
Beth El Early Learning Center
Member Portal

2024-2025 Religious School Teen Pass Enrollment Form

Welcome to Temple Beth El!
Our Congregation is committed to stand together to secure our shared future, both of our synagogue and our people. We are dedicated to the importance of Judaism, providing  children with a Jewish education, celebrating meaningful moments in your life, mourning the passing of a loved one, or simply embracing the spirituality and traditions that are at the heart of Judaism.

PARENT-1 INFORMATION

HOME ADDRESS

(Include Apt #, Suite #, etc if applicable)
Please do NOT enter MOBILE #

Parent-2 INFORMATION

 (Please use a different email address than specified for Parent-1)

HOME ADDRESS - Parent-2

(Include Apt #, Suite #, etc if applicable)
Please do NOT enter MOBILE #

TEEN ENROLLMENT

Please state preferred pronoun of Teen-1
Please enter as (xxx) xxx-xxxx
Please list all dietary restrictions or allergies. If not applicable, please write N/A.
We are committed to providing all teens with the tools they need to succeed ih the experiences we provide. To assist us, please provide any information about special needs / life changes that you would like to share with our staff, If not applicable, please write N/A.
Please state preferred pronoun of Teen-2
Please enter as (xxx) xxx-xxxx
Please list all dietary restrictions or allergies. If not applicable, please write N/A.
We are committed to providing all teens with the tools they need to succeed ih the experiences we provide. To assist us, please provide any information about special needs / life changes that you would like to share with our staff, If not applicable, please write N/A.
Please state preferred pronoun of Teen-3
Please enter as (xxx) xxx-xxxx
Please list all dietary restrictions or allergies. If not applicable, please write N/A.
We are committed to providing all teens with the tools they need to succeed ih the experiences we provide. To assist us, please provide any information about special needs / life changes that you would like to share with our staff, If not applicable, please write N/A.

ENROLLMENT CRITERIA

  • I take responsibility for any vandalism or damage my teen(s) may cause and that I will pay for any damage if needed.
  • I take responsibility for any inappropriate behavior, as determined by the Temple Beth El team. I understand that I may have to pick up my teen(s) immediately from wherever the program is located.
  • I will keep the Temple informed of changes to my contact information.
  • If I cannot be contacted in the event of an emergency, I hereby grant permission to
    authorize any emergency action necessary to ensure the safety of my teen(s).
  • I agree to indemnify and hold harmless Temple Beth El and all of its employees and Trustees, if any injuries occur to my teen(s) during any event at the Temple, while in transit to/from any Temple program, or while at any Temple-related off-site event, unless such injuries are as a result of the gross negligence or willful misconduct of the Temple or any of its employees.
I understand that my teen(s) picture (without names) may be included in temple publications.

EMERGENCY CONTACTS

TOTAL AMOUNT DUE

HOW DID YOU FIND US?

Please note that the system will not complete your enrollment unless full payment is received with this form submission (on next screen).

***There is no Early Bird discount for the Teen Engagement Pass***
Thu, October 3 2024 1 Tishrei 5785