Youth Group Payment Form - Form - Congregation B'nai Israel

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Youth Group Payment Form

Please verify reCaptcha before submitting the form.

Please fill out this form to pay your child(ren)'s youth group fee(s), if you have not already done so on the CBI membership form.
If you would like to pay by check, please call the CBI office 714.730.9693

* Parent First Name

* Parent Last Name

* Parent Email

* Child 1 First Name

* Child 1 Last Name

* Child 1 registration:

Please Select OneCBI Member USY (grades 7-12) $175Non-member USY (grades 7-12) $200Kadima (grades 3-6) $75Machar (grades k-2) $50

Child 2 First Name

Child 2 Last Name

Child 2 registration:

Please select oneCBI Member USY (grades 7-12) $175Non-member USY (grades 7-12)$200Kadima (grades 3-6) $75Machar (grades k-2) $50

Child 3 First Name

Child 3 Last Name

Child 3 registration:

Please select oneCBI Member USY (grades 7-12) $175Non-member USY (grades 7-12) $200Kadima (grades 3-6) $75Machar (grades k-2) $50

TOTAL:

Fri, May 3 2024 25 Nisan 5784

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