BATY's Friday Night Chill
October 22, 7:15 - 8:45 pm     Beth Am Beit Kehillah (BK) INCLUDES DINNER!
Sign in to Google to save your progress. Learn more
All Questions are referring to the BATY-ite (Teen) Attending
First Name *
Last Name *
Grade *
Are you enrolled in Beth Am's Teen Programs *
Cell Phone Number *
Email Address *
Dietary Restrictions (Note: events are Kosher-style, so we will not serve pork or shellfish) *
Are you full vaccinated against COVID-19? *
BATY is a self-funded program. The suggested donation for this event helps us to bring to fruition the incredible events that our teen Board Members work hard on for all of you! The suggested donation is $5 for those who are enrolled in Beth Am's Teen Programs and $15 for those who are not. Any amount you are able to donated beyond that will help ensure that everyone who would like to attend is able to do so, regardless of finances. Thank you!
Payment can be made via Venmo @Beth-Am (Please be sure to note that it is for BATY Chill Night) or you may bring cash/checks to the event.
I plan to donate...
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Congregation Beth Am. Report Abuse