BELY Event Registration

Thank you for your interest in attending an upcoming BELY event or program!
Please fill out this form completely to register.

Please note the following terms and conditions:

1) In order to fully register for a BELY event, you must send a copy of your registration confirmation (which will appear on your screen upon completion of this form) along with payment to the TBE School Office.

2) By registering for this event, you commit to sending in the appropriate payment. All BELY events are considered non-refundable after the stated registration deadline.

* Required

Participant First Name *

Participant Last Name *

Grade *

Home Phone *

Cell Phone

Email Address *

Parent Name(s) *

Parent Phone *

Parent Email Address *

Select Your Event/Program(s)! * Please check off all that apply.

Shabbat Services/Rabbi Saphire Installation (11/20/09) [No Charge]
BELY Pasta Dinner (11/20/09) [$8.00]

Do you have any dietary restrictions that we should know about while planning for this event?

Authorization *

PARTICIPANTS: By checking this box, you agree to the guidelines stated in the TBE Learning Programs B'rit Kehilah (Code of Conduct), which you signed at the beginning of the year.
PARENTS: By checking this box, you give your consent for your child (as listed in this form) to participate in this event. In addition, you agree to help uphold the guidelines stated in the TBE Learning Programs B'rit Kehilah (Code of Conduct), which you signed at the beginning of the year.