Join Shasty

Interested in getting involved in SHASTY? Sign up below! 

Signing up for SHASTY will add you to our email list, providing you with updates about our events, and volunteer opportunities. It will automatically clear you to participate in any and all SHASTY events. It'll get you involved in our holy community! There's no cost to join, however some events will require a cost themselves. And as always, scholarships are available! Please fill out a separate for each student.

IMPORTANT NOTE: It is very important that you provide the STUDENTS email, phone, etc. information where asked. We additionally ask for your, the parents, associated email. However, we want to be able to communicate with all teens directly about SHASTY events. We thank you very much for your consideration in this regard. 

Student's Name *
Student's Name
Student's Address *
Student's Address
Student's Cell Phone *
Student's Cell Phone
Student's Home Phone *
Student's Home Phone
Student's Birthday *
Student's Birthday
Parent Information
Parent 1 Name *
Parent 1 Name
Parent 2 Name
Parent 2 Name
Parent 1 Phone *
Parent 1 Phone
Parent 1 Address *
Parent 1 Address
Parent 2 Phone
Parent 2 Phone
Parent 2 Address
Parent 2 Address
(if different)
Health Information
(Vegetarian, Vegan, Kosher...)
(Asthma, Rx's...)
By signing below we (the undersigned) agree to the following with the understanding that violation of the rules could result in appropriate disciplinary action including and not limited to suspension from future SHASTY events. We agree to • Participate fully at events for their duration while remaining within the designated perimeters; • Refrain from causing physical harm to anyone else or anything else before, during or after a sponsored event; • Understand that guests are not allowed unless permission has been granted in advance by a member of Sha’aray Shalom Clergy or the Youth Group Director, and unwelcomed guests will be asked to leave; • Refrain from inappropriate behavior not already listed in the code of conduct; • Abide and adhere to any additional rules, pertinent to a specific event, which may be announced.
By signing below, I, the legal parent/guardian, give permission to the above student to be a member of Congregation Sha’aray Shalom’s SHASTY and to fully participate in all activities sponsored/arranged by the Congregation and its respective youth groups and programs. I have read the Code of Conduct and agree that the member will abide by its terms and conditions, and that violation will result in disciplinary action, potentially including expulsion from an event at the expense of the parent/guardian. I release Congregation Sha’aray Shalom and SHASTY and all its agents from liability in case of accident or injury resulting from, or in connection with, related activities. I hereby empower the Congregation Youth Staff to act for me in accordance with their best judgment in the case of an emergency. The information on this form is accurate to the best of my knowledge.
By signing below, I agree to adhere to the above B'rit Kehillah, and acknowledge this electronic signature is equal in power to my handwritten signature.
By signing below, I acknowledge I have read and agreed with the B'rit Kehillah and permission form, and recognize that my electronic signature is equal in power to my handwritten signature.
Date Signed *
Date Signed