Youth/TE Teens Registration

GroupsTemple Emanuel Member Rates*
Kadima: Grades 3-5$60
Junior USY: Grades 6-8$125
Senior USY: Grades 9-12$125

DUES ARE VALID SEP 1, 2025 THRU JUN 30, 2026

*Please note: Temple Emanuel members are billed along with their membership dues. This fee includes prepayment of 7 teen Shabbat dinners throughout the year and supplementing other programs.

Online Payment of the Temple Emanuel Youth/TE Teens dues is available below for people that don’t want their dues included on their synagogue bill. Please contact Wayne for non-member dues rates.

Youth/TE Teens Registration Form: 2025-2026

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Please fill out a separate form for each student
Student Name(Required)
Address(Required)
AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
MM slash DD slash YYYY
Did they attend summer camp in 2025?(Required)

Youth/TE Teens Member Family Information

Parent/Guardian Information
Full Name
Email
Cell Phone
Work Phone
 

Youth/TE Teens Group

- Select Here -Kadima: Grades 3-5 ($60)Junior USY: Grades 6-8 ($125)Senior USY: Grades 9-12 ($125)

Medical Information

Parent/Guardian Permission

I give my permission for my child to participate in the activities of the Youth Department. My child is permitted to use any transportation selected by the advisor and/or Director of Informal Youth Education. I give permission to Temple Emanuel and its agents to secure proper medical treatment in the event of an emergency.(Required)
I give my permission for photos to be taken of my child, and agree that they may be used for Temple Emanuel promotional purposes, including but not limited to our website and social media.(Required)
I would like to receive the Temple Emanuel USY e-newletter. Note that by opting out you will not receive information about upcoming events(Required)
(in lieu of a signature)

Membership Agreement

As a representative of the Temple Emanuel community, I recognize my need to observe appropriate behavior at all times. I agree to be considerate of my peers and the Youth Department staff and I will follow all rules as set at the beginning of each program. While participating in a Temple Emanuel sponsored youth activity, I will follow the Jewish ritual laws regarding Kashrut and Shabbat and I will refrain from the unlawful use of drugs, alcohol and tobacco. I understand that if I don’t abide by these criteria it may result in disqualification from attending future youth events. for my child to participate in the activities of the Youth Department. My child is permitted to use any transportation selected by the advisor and/or Director of Informal Youth Education. I give permission to Temple Emanuel and its agents to secure proper medical treatment in the event of an emergency.
(in lieu of a signature)
(in lieu of a signature)
Price: $0.00
Payment Method
PayPal CheckoutCredit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
  
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Questions? Contact:

Wayne Goldstein