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Religious School Application
Religious School is available for pre-k through grade 7 (and/or pre-B'nei Mitzvah).
Hebrew Instruction is available for grade 4 through B'nei Mitzvah.
Torah Tykes is available for ages 3 - 5.
Classes are virtual at this time.
*
Child's Name
*
Date of Birth
*
Parent 1 Name
Parent 2 Name
*
Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
Home Phone
*
Parent 1 Cell
Parent 2 Cell
*
Email
Does your child have food allergies? Please describe.
Does your child have any medical allergies? Please describe.
In case of emergency, if parents are unavailable, please contact:
Name 1
Phone
Name 2
Phone
Please list anyone who will be picking your child up on a regular basis:
Name 1
Phone
Name 2
Phone
*
I am enrolling my child in:
Religious School $275.00 per student
Hebrew Instruction $275.00 per student
Torah Tykes $275.00 per student
Households with multiple students receive a $15 reduction for additional students (after first). Please make checks payable to Temple Beth-El.
Mail to: 579 North Nova Road, Ormond Beach, FL 32174
Fees for Hebrew instruction includes the purchase and use of Hebrew materials.
Please sign electronically below:
*
Parent 1 - Please sign electronically (full name) here
*
Date
Please complete the photography release form.
*
Do we have your permission for your child to be photographed and/or videotaped and to have those pictures appear in any media coverage, publications, religious school events, youth events, web page or social media for Temple Beth-El. No names will be associated with the pictures.
Please Select One
I give my permission
I do not give my permission
*
Parent 1 - Please sign electronically (full name) here.
*
Date
Fri, January 22 2021 9 Sh'vat 5781