Shir Ami, Bucks County Jewish Congregation

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SHAFTY Membership Application

APPLICANT INFORMATION Include child email separately from parent(s)

Use the form to submit your application; make check payable to Shir Ami Federation of Temple Youth
After submitting your application please fill out the Medical Disclaimer

*Babysitters Club
Is open to all SHAFTY members in 8th-12th Grades. Your name, grade, and telephone number will be posted on the SHAFTY Bulletin Board. Your email address will be posted on the SHAFTY website, WWW.SHAFTY.NET
**Parent Youth Committee
Is a special group of volunteer parents who are committed to supporting, promoting, and facilitating youth activities. The Committee is seeking new volunteers. We meet approximately four times yearly. For information contact Abby Simkus, rsimkus@comcast.net

MEMBERSHIP FEES

* $18 applied toward nfty/par dues
**Non-congregants may join shafty
Affix one membership check made payable to shafty

Shir Ami Federation of Temple Youth 101 Richboro Rd  Newtown, PA 18940
Sr. Hotline: (215) 968-3400 x310   Jr/Bonim/Chal. Hotline: (215) 968-3400 x311
SHAFTY Email: fernelevy@hotmail.com or shaftyrsvp@comcast.net

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