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Youth Group Member Registration 2022-2023

CSK USY YOUTH GROUPS
Youth group empowers Jewish youth to develop friendships, leadership skills, a sense of belonging to the Jewish People, a deep engagement with and love for Israel, and a commitment to inspired Jewish living through meaningful and fun experiences based on the ideology of Conservative Judaism. By enrolling in Religious School, your child is automatically a part of our USY Youth Program. Youth Group dues cover all on-campus activities.
Click for more information about Chaverim (grades 3-5), Gesher (grades 6-8) and USY (grades 9-12)
Click here for more information about USY USCJ's Youth Movement
PLEASE LOG IN TO YOUR ACCOUNT BEFORE YOU BEGIN
GUARDIAN INFORMATION
GUARDIAN #1

GUARDIAN #2

STUDENT INFORMATION
STUDENT #1


Please email copy of most recent vaccination form to office@shaareikodesh.org

CSK USY YOUTH GROUP OPTIONS


STUDENT #2


Please email copy of most recent vaccination form to office@shaareikodesh.org
 
 
CSK USY YOUTH GROUP OPTIONS


STUDENT #3


Please email copy of most recent vaccination form to office@shaareikodesh.org


 
CSK USY YOUTH GROUP OPTIONS

EMERGENCY CONTACT & PICK-UP INFORMATION
In addition to guardians, please list an emergency contact/authorized individual for pick up:
APPLICATION FOR ENROLLMENT AND LIABILITY RELEASE

I hereby submit registration for my child, as listed above, for the Congregation Shaarei Kodesh (CSK) Religious School Program during the 2021-2022 school year. I understand that session and class placement of my child is left to the discretion of the Director.  In the event of an emergency, I give permission for my child to be brought to the nearest medical facility and authorize the representative of Congregation Shaarei Kodesh to select a physician, nurse, paramedic or emergency medical technician licensed by the State of Florida, and/or authorize medical treatment, including hospitalization, anesthesia, injection, surgery or other measures which he/she feels are in the best interest of my child. This form also serves as a release form for any trip on which my child participates during the school year. I also, hereby release and agree to defend, indemnify and hold Congregation Shaarei Kodesh (and its officers, directors, agents, volunteers and employees) harmless from any and all damages, injuries, claims and causes of action arising (directly or indirectly) out of my or my child’s participation on any school-sponsored activity or trip. My child has my permission to participate in all activities of the Education Program for which he/she is registered.


By signing this application, the undersigned agrees to pay the total amount of tuition and fees for the 2021-2022 school year. Refunds due to withdrawal are not available. In the event of payment default, CSK reserves the right to cancel the student’s enrollment in school and/or youth groups and the undersigned agrees to pay the expenses of enforcement and collection, including attorney’s fees and costs.
Thu, December 1 2022 7 Kislev 5783