Click BOTH links below to get a copy of the application! thank you for joining!

To get a hard copy of the form click the link, go to "file", go to "save as," select a location, then print from that location OR click the link and select "file" then select "print" THEY WILL PRINT AS ONE (1) PAGE


Form Front
Form Back




You can also fill out the first part of the form online. This information is strictly private, and cannot be accessed by anyone other than the San Antonio Chapter of the United Synagogue Youth. NOTE: you will still need to fill out the medical information and sign the code of conduct in person, at which time your $36 registration cost can be paid. Thank you for joining.



Your name:

Your Birthdate:

Your Gender:

Your address:

City/State/Zip code:

Your phone number:

Your email address:

Your High School:

Graduation Year:
2010
2009
2008
2007

Your Screen Name:

Synagogue Affiliation:




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