Wufoo
BHC Youth Education Re-enrollment 2021-2022
Fill out one form per family:
Billing for Youth Education 2021-2022 will be sent out in July.
3 & 4 years old, Aleph All-Stars, Sunday 9am-Noon $200
Kindergarten, Sunday 9am-12pm $200
1-3 grade, Sunday 9am-12pm $300
4-7 grade, Sunday 9am-12pm $350
Student #1 Name:
*
First
Last
Incoming Grade
*
Secular School 2021-2022
*
List Any Allergies
*
Student #2 Name:
First
Last
Incoming Grade
Secular School 2021-2022
List Any Allergies
Student #3 Name:
First
Last
Incoming Grade
Secular School 2021-2022
List Any Allergies
Student #4 Name:
First
Last
Incoming Grade
Secular School 2021-2022
List Any Allergies
I/We give permission for BHC to use my families contact information in the Youth Education directory.
*
Yes
No
Photography Release: I/we hereby give consent for photographs, film, video or sound, recordings to be taken of anyone in my family at Baltimore Hebrew Congregation or at a BHC sponsored activity during the 2021-2022 year. We further consent that such photographs/recordings may be used in BHC publications, promotional materials, news releases, film, video, websites, social media, or sound producation as directed and approved by BHC
*
Yes
No
I/We give permission for our child(ren)/ward(s) to attend all BHC field trips (BHC will keep parents informed of trip, places, dates and time.
*
Yes
No
For the 2021-2022 academic year, my preference is that my child/ren will participate in Youth Education
*
Online through Zoom
In-person at Baltimore Hebrew Congregation
Person Completing this Form
*
First
Last
Email
*
Do Not Fill This Out
This site is protected by reCAPTCHA Enterprise and the Google
Privacy Policy
and
Terms of Service
apply.