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2017-2018 RELIGIOUS SCHOOL REGISTRATION

Minimum of 10% payment is required when filling out this form. 

You should receive a confirmation email shortly after completion. 

Parent #1 Contact Information

Parent #2 Contact Information

(If Different)

Family Address

both parents together
both parents, but seperately
only parent 1
only parent 2

Please provide us with an EMERGENCY CONTACT to be notified if both parents are unreachable.

yes, I authorize
no, I do not authorize


Kindergarten - 6th Grade Classes

Participation in the B'nai Mitzvah Retreat is open to all 6th graders. It is however, a requirement for all of the 6th Grade Mishpacha participants. The date of the overnight is January 19th, at 5:30pm to January 20th, 4:30pm. You will be sent an ivitation in the Fall with more information and will be billed additionally for this event.

Please be sure to choose a 2nd option (must be different than 1st choice).

7th Grade - 12th Grade Classes

7th grade - Monday 6:30pm-7:30pm $1,465.00
8th grade - Monday 6:30pm-7:30pm $1,080.00
9th grade - Monday 6:30pm-7:30pm $1,080.00
10th grade - Monday 6:30pm-7:30pm $1,700.00
11th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00
12th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00

10th grade tuition includes a mandatory 4 day/3 night trip to RAC (Religious Action Center) in Washington, D.C.

Monday Night Kesher Pizza Dinner - (7th-10th graders) $150.00
Monday Night Kesher Pizza Dinner - (11th-12th graders - seasonal dinners out) $110.00
MEMBERS Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (separate groups by age) $300.00
NON-MEMBER Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (separate groups by age) $350.00
MEMBERS Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $300.00
NON-MEMBER Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $350.00

ALL REQUESTS MUST BE MUTUAL. We will make every effort to place children in a class with their mutual requested friend. NOT required for 8th to 12th grade

Junior Choir -Junior Choir - Every Sunday from 10:15am - 10:45am

It is our goal to provide a warm, creative, and nurturing learning environment for each of our students. In order to provide the best education, we need to know as much as possible about your child. The more information you share, the better able we are to meet the needs of your student. Information will be shared with your child's classroom teacher unless you indicate otherwise.

Yes
No
Visual
Auditory
Tactile
Kinesthetic

Kindergarten - 6th Grade Classes

Participation in the B'nai Mitzvah Retreat is open to all 6th graders. It is however, a requirement for all of the 6th Grade Mishpacha participants. You will be notified of the date as soon as it is set and will be billed additionally for this event.

Please be sure to choose a 2nd option (must be different than 1st choice).

7th Grade - 12th Grade Classes

7th grade - Monday 6:30pm-7:30pm $1,465.00
8th grade - Monday 6:30pm-7:30pm $1,080.00
9th grade - Monday 6:30pm-7:30pm $1,080.00
10th grade - Monday 6:30pm-7:30pm $1,700.00
11th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00
12th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00

10th grade tuition includes a mandatory 4 day/3 night trip to RAC (Religious Action Center) in Washington, D.C.

Monday Night Kesher Pizza Dinner - (7th-10th graders) $150.00
Monday Night Kesher Pizza Dinner - (11th-12th graders - seasonal dinners out) $110.00
MEMBERS Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (seperate groups by age) $300.00
NON-MEMBER Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (seperate groups by age) $350.00
MEMBERS Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $300.00
NON-MEMBER Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $350.00

ALL REQUESTS MUST BE MUTUAL. We will make every effort to place children in a class with their mutual requested friend. NOT required for 8th to 12th grade

Junior Choir - Every Sunday from 10:15am - 10:45am

It is our goal to provide a warm, creative, and nurturing learning environment for each of our students. In order to provide the best education, we need to know as much as possible about your child. The more information you share, the better able we are to meet the needs of your student. Information will be shared with your child's classroom teacher unless you indicate otherwise.

Yes
No
Visual
Auditory
Tactile
Kinesthetic

Kindergarten - 6th Grade Classes

Participation in the B'nai Mitzvah Retreat is open to all 6th graders. It is however, a requirement for all of the 6th Grade Mishpacha participants. You will be notified of the date as soon as it is set and will be billed additionally for this event.

Please be sure to choose a 2nd option (must be different than 1st choice).

7th Grade - 12th Grade Classes

7th grade - Monday 6:30pm-7:30pm $1,465.00
8th grade - Monday 6:30pm-7:30pm $1,080.00
9th grade - Monday 6:30pm-7:30pm $1,080.00
10th grade - Monday 6:30pm-7:30pm $1,700.00
11th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00
12th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00

10th grade tuition includes a mandatory 4 day/3 night trip to RAC (Religious Action Center) in Washington, D.C.

Monday Night Kesher Pizza Dinner - (7th-10th graders) $150.00
Monday Night Kesher Pizza Dinner - (11th-12th graders - seasonal dinners out) $110.00
MEMBERS Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (seperate groups by age) $300.00
NON-MEMBER Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (seperate groups by age) $350.00
MEMBERS Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $300.00
NON-MEMBER Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $350.00

ALL REQUESTS MUST BE MUTUAL. We will make every effort to place children in a class with their mutual requested friend. NOT required for 8th to 12th grade

Junior Choir - Every Sunday from 10:15am - 10:45am

It is our goal to provide a warm, creative, and nurturing learning environment for each of our students. In order to provide the best education, we need to know as much as possible about your child. The more information you share, the better able we are to meet the needs of your student. Information will be shared with your child's classroom teacher unless you indicate otherwise.

Yes
No
Visual
Auditory
Tactile
Kinesthetic

Kindergarten - 6th Grade Classes

Participation in the B'nai Mitzvah Retreat is open to all 6th graders. It is however, a requirement for all of the 6th Grade Mishpacha participants. You will be notified of the date as soon as it is set and will be billed additionally for this event.

Please be sure to choose a 2nd option (must be different than 1st choice).

7th Grade - 12th Grade Classes

7th grade - Monday 6:30pm-7:30pm $1,465.00
8th grade - Monday 6:30pm-7:30pm $1,080.00
9th grade - Monday 6:30pm-7:30pm $1,080.00
10th grade - Monday 6:30pm-7:30pm $1,700.00
11th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00
12th grade - Monday 6:30pm-7:30pm (approx. twice a month) $540.00

10th grade tuition includes a mandatory 4 day/3 night trip to RAC (Religious Action Center) in Washington, D.C.

Monday Night Kesher Pizza Dinner - (7th-10th graders) $150.00
Monday Night Kesher Pizza Dinner - (11th-12th graders - seasonal dinners out) $110.00
MEMBERS Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (seperate groups by age) $300.00
NON-MEMBER Rosh Hodesh: It's a Girl Thing - monthly program for 8th - 12th grade girls (seperate groups by age) $350.00
MEMBERS Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $300.00
NON-MEMBER Shevet Achim: The Brotherhood - monthly program for 8th - 9th grade boys $350.00

ALL REQUESTS MUST BE MUTUAL. We will make every effort to place children in a class with their mutual requested friend. NOT required for 8th to 12th grade

Junior Choir - Every Sunday from 10:15am - 10:45am

It is our goal to provide a warm, creative, and nurturing learning environment for each of our students. In order to provide the best education, we need to know as much as possible about your child. The more information you share, the better able we are to meet the needs of your student. Information will be shared with your child's classroom teacher unless you indicate otherwise.

Yes
No
Visual
Auditory
Tactile
Kinesthetic

Please Carefully Select one of the payment options below

Please make sure to read the following procedures and policies regarding enrollment in school: Registration forms will only be accepted and processed if your family is a member in good standing of the Temple for 2016-2017. If your family has not fully paid all outstanding balances for dues, tuition, security assessments, building fund, b'nai mitzvah fees and all other relevant charges, or is not current with credit card installment payments, or is not current with a previously made special arrangement for such charges, the school registration will not be processed.

The Temple commits to teachers, arranges class sizes, and purchases supplies based on the number of registrations. Therefore, religious school tuition is non-refundable after August 1st. Our congregation believes that becoming B'nai Mitzvah is part, but not the end, of a child's Jewish education. Enrollment, payment, and participation in the 7th grade program for the full year are required for students.

If you have any questions about this as it relates to your child, please contact the Director of Education.

If you are registering more than one child, there is a discount of $25 each for the 2nd, 3rd child, etc.

Our on-line payment system offers the option of paying by check by using the drop down menu in the payment information section. If you choose to pay by credit card, please consider checking the box to make an additional 3% contribution to help the Temple cover our credit card fees.

Our Temple is committed to providing a Jewish education to all of our students. If you are unsure about your membership status, or wish to discuss a special arrangement, please contact Mona Halter at  mhalter@templest.org

Yes
No

If you selected NO please choose from one of the following two options:

A minimum payment of 10% is required to register for classes. The remaining balance appears in the parentheses

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