Youth RegisTration form

All children must be registered with our youth department,

in order to participate in weekly groups and other events. 

Please feel free to call the shul office at 516-295-2282

or email our youth department at hewlettyouth@gmail.com

with any questions.
 

Please fill out the form below and mail back to the shul office.
 

Young Israel of Hewlett

PO Box 176

Hewlett, NY  11557


 

Family Name: ______________________________________________­­­­­______________

Parents’ Names:__________________________________________________________

Address: ________________________________________________________________

Preferred phone number: __________________________________________________

Email address: ___________________________________________________________
 

Child’s Name

Age

Grade

Birthday

Hebrew Birthday

School

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Special Accommodations:

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
 

Annual youth membership fees are $75 per child or $150 per family

 

Fri, December 15 2017 27 Kislev 5778