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2022-23 Religious School Application
Please verify reCaptcha before submitting the form.
Welcome to Temple Beth-El Religious School! We have religious classes available for Pre-K through Grade 2 and for Grade 3 through Grade 7 (includes Hebrew instruction). We also have our TBE Tots program for infants and toddlers plus adult. If you have any questions prior to applying, please contact our Director, Cantor Nina Fine, at 917-923-9772 or nina@ninafine.com. We look forward to meeting you!
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Child's Name 1
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Date of Birth
Child's Name 2
Date of Birth (MM/DD/YYYY):
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Parent 1 Name
Parent 2 Name
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Address
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City
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State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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Illinois
Indiana
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Nevada
New Hampshire
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New York
North Carolina
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Zip Code
Home Phone
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Parent 1 Cell
Parent 2 Cell
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Parent Email 1
Parent Email 2
Does your child/children have food allergies? Please describe.
Does your child/children 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/children up on a regular basis:
Name 1
Phone
Name 2
Phone
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I am enrolling my child/children in:
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Religious School Grade 3 through Grade 7 (includes Hebrew instruction) - $550.00 per student
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Religious School Pre-K through Grade 2 - $275.00 per student
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TBE Tots - no fee but donations to help fund programming are appreciated
Households with multiple students receive a $25 reduction for additional students (after first). Prior to Bar and Bat Mitzvah, students meet with the Rabbi for tutoring for an additional fee. Please make checks payable to Temple Beth-El.
Mail to: 579 North Nova Road, Ormond Beach, FL 32174
Please sign electronically below:
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Parent 1 - Please sign electronically (full name) here
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Date
Please complete the photography release form.
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Do we have your permission for your child/children 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
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Parent 1 - Please sign electronically (full name) here.
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Date
Fri, April 26 2024 18 Nisan 5784