BEANS USY Registration Form

After you register please send the $45 membership cost to:

NSS Beth El
Attn. Tovah Goodman
1175 Sheridan Road
Highland Park, IL
60035

Please make checks payable to "Beth El Youth Community".

    USYer Information

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    School Information

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    Parent / Garudian Information

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    Medical/Allergy Information

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    Additional Information

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