Thank you for your continued interest and participation in Beth Shalom. This form will allow you to apply to renew your membership, enroll your children in our religious school, and/or enroll your middle school and high school teens in our junior or senior youth group programs. If you do not wish to renew electronically, please contact the office for assistance. Please note the following guidelines:
As a part of membership renewal, you will be required to enter your 2017-2018 Pledge.
Parents who wish to enroll children in pre-kindergarten through 7th grade may use this form to register their children in the Religious School. Parents who have teens in grades 8 through 12 who are interested in the Madrichim program will not register their teens with this form but will apply in a separate process. You will receive more information about the Madrichim application process soon.
It will take anywhere from 5 to 15 minutes to complete this form.
You will not be able save your information, exit the form and return to it at a later time.
If you exit the form, you will lose the data you have entered.
Please do not use your browser back arrow as it will take you out of the form, and you will lose your information
. You may navigate between the pages by using the form tabs on the top or by clicking on the "Next" or "Back" button on the bottom of the page.
Please wait for the "Thank You" screen once you submit your information to confirm submission.
If you have questions or need assistance in completing any part of this form, please call 919-858-7777. Thank you for your time.