CBI Youth Group Membership Form 2023-2024
Youth Groups are open to children whose families are members of CBI and those who are not. There is an additional $15 charge per youth for families who are not CBI members. 
Chaverim Youth Group is for children in grades 4 & 5. They meet monthly on Tuesdays after BBRS religious school, from 6:00 to 7:15 pm. Dinner is included. The cost is $40 ($55 non CBI members).
Kadima Youth Group is for children in grades 6, 7, & 8. They meet approximately twice a month on Tuesdays after BBRS religious school, from 6:00 to 7:15 pm. Dinner is included.  The cost is $50 ($65 non CBI members).
MillbUSY for 9th through 12th graders meets approximately twice a month, usually on Thursdays from 7:30 to 9:00 pm. The cost is $70 ($85 non CBI members).
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Name of Person Completing Form *
Are you a member of CBI? *
Payment *
Child/ren Home Address (including City/State/Zip) *
Adult 1 Name *
Adult 1 Email *
Adult 1 Cell Phone *
Are you interested in getting involved with the Youth Committee? *
Adult 2 Name
Adult 2 Email
Adult 2 Cell Phone
Are you interested in getting involved with the Youth Committee?
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EMERGENCY CONTACTS - Please list 2 people who are not the parents/guardians already listed here in case of emergency. GIVE THEIR FULL NAMES AND CELL PHONE NUMBERS. *
Child 1 Name *
Child 1 Date of Birth *
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Child 1 Grade  *
Child 1 School  *
Child 1 Cell Phone
Child 1 - Any food allergies or restrictions? *
Child 2 Name
Child 2 Date of Birth
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Child 2 Grade 
Child 2 School 
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Child 2 Cell Phone
Child 2 - Any food allergies or restrictions?
Child 3 Name
Child 3 Date of Birth
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YYYY
Child 3 Grade 
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Child 3 School 
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Child 3 Cell Phone
Child 3 - Any food allergies or restrictions?
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