BTY Registration

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***MEMBERS, save yourself some time by logging in!***
Once you've logged in, enter your child's name in the box above the red arrow.
The form will pre-fill some information from your account.

BTY offers a vibrant and supportive environment for young individuals to connect with their heritage and peers. Our youth group serves as a cornerstone for building a strong Jewish identity and fostering a sense of community among teenagers and young adults. Through a diverse array of activities—including educational programs, social events, and community service projects—members gain a deeper understanding of Jewish traditions and values while developing leadership skills and lifelong friendships.

With questions about registration, contact Elana Adler at ea@harhashem.org

Parent or Guardian First Name

Last Name

Parent or Guardian 2 First Name

Last Name

Phone Number

Confirmation Email Address

This is where the email confirming enrollment will be sent.

Child's First Name

Child's Last Name

What pronouns does your child prefer?

Please list your child's allergies &/or dietary restrictions. (n/a if none)

Teen's phone number

* Will your child need to take medication during youth events?

YesNoIf any medication will be taken over the weekend, you need to print, fill out, and have your doctor sign our medical release form. Please email it to me ahead of time.

* Please upload your child's immunization records

Upload your child's insurance

Is there anything I should know about your child?

* Is your child currently enrolled in BTY?

Please contact Elana Adler (ea@harhashem.org) if this is a financial challenge for your family.

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