Youth Education Program Enrollment

Thank you for your interest in CBI Youth Education Program! Please fill out the form below to enroll your family. For families with more than three children, please fill out another form for additional students. If you have any questions please contact us at 828-252-8660 or admin@bethisraelnc.org

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  • Please provide a cell phone number for two (2) contacts who are not a parent.
  • I grant permission for my child and family to be photographed, video or audio recorded at CBI Youth Education Program and events. The media files and photographs may be used by Congregation Beth Israel for educational, membership and publicity purposes, including print and internet content.
  • I agree to release, hold harmless and indemnify Congregation Beth Israel, its agents, representative, directors, employees, offices, trustees, teachers and volunteers from all claims, damages or other liabilities for injuries to my son/daughter that are not the result of gross negligence, intentional neglect, or willful conduct by Congregation Beth Israel and its employees. I understand this release binds my heirs, personal representatives, and me.
  • This field is for validation purposes and should be left unchanged.