Youth Department Enrollment Form

VBS Youth Department Enrollment FORM

***Please FILL OUT ONE FORM PER PARTICIPANT***

TUITION AND FEE STRUCTURE PER PARTICIPANT:
VBS USY: $85 VBS Member; $115 NON-VBS Member
Teen Tuesdays: $600 VBS Member; $800 Non-VBS Member
Moving Traditions Annual: $180 

I am enrolling my child in (check all that apply)
Student Contact Email Address
Individual/s that the Child currently lives with.

By CLICKING ABOVE, I am acknowledging and agreeing to the following: 

1. I/We understand that my/our child may not attend VBS Youth programs unless I/we have paid the full amount of tuition required or have established and am/are current with an automated credit card payment plan. Should I/we need assistance with tuition it is my/our responsibility to contact the Valley Beth Shalom Administrative Of-fice to set up the terms and conditions of my/our payment plan. 

2. I/We understand that Valley Beth Shalom will enforce a behavior management policy. I/we understand that se-rious infractions such as, but not limited to, stealing, fighting, possession of contraband on campus (weapons, drugs or alcohol), willful destruction of school property, and/or bullying (including verbal and/or sexual harass-ment) may result in an immediate removal from class and may result in discipline up to and including dismissal with no refund of payment. 

I/We have read, understand and agree to be bound by this enrollment agreement for myself/ourselves and on behalf of my/our child.