2021-2022 Religious School Registration

Registration is now open for the 2021-22 school year. Tuition is $800 for Beth David members & $1800 for non-members (per student, grades K-5). Registration fee is $250, an early bird $50 discount applies for those who register before September 17.

Student 1 Name

Student's Hebrew Name

Let us know if your child doesn't have one, or you need help spelling it!

Student 1 Birthday

Secular School

Grade entering in 2021-2022

Student 2 Name

Student's Hebrew Name

Let us know if your child doesn't have one, or you need help spelling it!

Student 2 Birthday

Secular School

Grade entering in 2021-2022

Student 3 Name

Student's Hebrew Name

Let us know if your child doesn't have one, or you need help spelling it!

Student 3 Birthday

Secular School

Grade entering in 2021-2022

Payment

Tuition

Member (number of students)

Non-Member (number of students)

Registration Fee

Number of students

Parent 1 First Name

Parent 1 Last Name

Cell Phone

Parent 2 First Name

Parent 2 Last Name

Cell Phone

Home Address

City

State

Zip

* Emergency Contact

* Phone Number

* Relationship

If New to Beth David

Please share the name of Religious and/or Jewish Day School most recently attended by your children.

School Address

Phone Number

Years Attended

Special Needs

Please indicate any learning problems, disabilities, and/or concerns we should be aware of. This information will remain confidential.

Other

Please use the space below to provide the Religious School Director with any other information, which may be relevant to your child's participation in our program (i.e. allergies, medication, triggers)

Photo/Video Permission

When classes are in session, there are times when pictures or videos may be taken to show-case an activity or an event. Photos or videos may be used by program vendors, internally, or in school marketing materials including our school’s website and other school’s social media sites.

Permission

Yes, I give my permissionNo, I do not give my permission

Signature

By typing your name, you acknowledge that students are required to attend Religious School on Sunday & participate in the events associated with the program

Date

Total

Thu, April 25 2024 17 Nisan 5784