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Religious School 2nd Student Registration 5782
Please verify reCaptcha before submitting the form.
2nd Student Registration Form
Use this form to register a second child for Religious School, Hebrew Class, or Chai 5.
Most of the details about the family have already been submitted with the registration of the first child. If you have two or more children to register, please make sure that you fill out the 1st child registration form for one child. If you have more than two children to register, please use the appropriate (3rd, 4th, 5th child) registration forms for the additional children.
PARENT INFORMATION
Parent details should have been submitted with the first student registered. This is included here to be able to send you a confirmation of the details that are being submitted with this student's registration.
*
Parent First Name
*
Parent Last Name
*
*Parent Email
*Required to send confirmation of registration details.
STUDENT INFORMATION
*
Student First Name
*
Student Last Name
(if different than parent last name)
*
Student Hebrew Name
Please include Hebrew name or write: "N/A" if there is no Hebrew name, or "Forgot."
Student Email
Student Phone
*
Student Birth Date
*
Student Current School
*
Student Grade in School
CHOOSE ONE:
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
CONCERNS
*
Student Please list any Allergies or Medical or other Concerns. If none, write "None."
OTHER ACTIVITIES
*
Student Please list any Activities or Hobbies student does outside of school. If none, write "None."
DIFFERENT INFORMATION FOR THIS STUDENT
*
Different Information for this Student
If the information for this student is different than for the first student, please explain here. For example, carpool request, different photo permissions, adults who can pick-up the child, guardian information etc.
TUITION
*
Registering this Student for:
$250 Religious School (K3-7th grade)
$200 Hebrew School
$200 Chai 5 (8th-10th grade)
Tuition Assistance (Optional)
CHOOSE ONE:
We can contribute to a Scholarship Fund to help defray tuition costs for others
Please have the Education Director or the Rabbi contact me to discuss payment plans, scholarships, or special tuition rates for more than two students in one family
Continue to next screen to pay for this student, or bill your account.
To pay for all of your students at one time, create a bill for each student, and then pay when you are finished registering students.
If you are requesting scholarship assistance, please continue and bill your account anyway.
You will be contacted concerning scholarship arrangements.
If you are offering to help with scholarship assistance, you will be contacted about how to make the extra payment(s).
Thu, April 25 2024
17 Nisan 5784
Tonight's Sefirah Count Is 3
היום שלשה ימים לעמר
Today's Calendar
Chol Hamoed Passover
People of the Book Club
: 7:00pm
Friday Night
Evening Service
: 6:00pm
Candle Lighting
: 7:35pm
Shabbat Day
Passover Song of Songs Torah Study & Shabbat Morning Service
: 9:45am
Havdalah
: 8:36pm
Upcoming Programs & Events
Apr
25
People of the Book Club
Thursday, Apr 25 7:00pm
Apr
27
Passover Song of Songs Torah Study & Shabbat Morning Service
Shabbat, Apr 27 9:45am
Apr
28
"Four Winters" Movie Premier
Sunday, Apr 28 2:30am
Apr
29
The B'nai Zion Office is Closed for Passover
Monday, Apr 29 9:00am
Apr
29
Passover Final Morning and Yizkor Services on Zoom
Monday, Apr 29 11:00am
Candle Lighting
Friday, Apr 26, 7:35pm
Havdalah
Motzei Shabbat, Apr 27, 8:36pm
Chol Hamoed Passover
Thursday, Apr 25
View Calendar
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Thu, April 25 2024 17 Nisan 5784