Leave this field empty

TBA Religious School Registration 2018-2019 Welcome to Kindergarten and Grade 1

Please note that this rate is for non-congregants and does not include membership to Temple Beth Avodah.

There is a $300 deposit due for each child that you are registering. An invoice for the balance of $1,000 per child will be mailed to you.

Emergency Contact

In case of emergency and parents can't be reached, please notify the following person:

First and last name

MM/DD/YEAR

ADDITIONAL STUDENT INFORMATION

It is extremely important that you provide us with the following information for your child in order that we may best meet his or her individual needs. For any questions that are not appicable for your child, please write in "none".






First and last name

MM/DD/YEAR

ADDITIONAL STUDENT INFORMATION

It is extremely important that you provide us with the following information for your child in order that we may best meet his or her individual needs. For any questions that are not appicable for your child, please write in "none".






First and last name

MM/DD/YEAR

ADDITIONAL STUDENT INFORMATION

It is extremely important that you provide us with the following information for your child in order that we may best meet his or her individual needs. For any questions that are not appicable for your child, please write in "none".






Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.
Total: