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TBT Religious School Registration Form 2023-24
Please verify reCaptcha before submitting the form.
Please fill out one form per child/student
Please Note:
There is a mandatory deposit for each student.
Grades K, 1, & 2 - $100. deposit
Grade 3 - $200. deposit
Grades 4-7 - $300. deposit
Registration is ongoing!
If you would like to pay the RS deposit by check,
CLICK HERE
print, fill out, and submit it with your deposit
*
What grade is your child entering in September 2023?
Please Select One
Grades K, 1 or 2
Grades 3-7
*
TBT Member
Please Select One
Yes
No
*
Are You Temple Beth Torah Members?
Please Select One
Yes
No
*
What Grade is your child entering in September 2023?
Please Select One
Kindergarten
First
Second
*
What Grade is your child entering in September 2023?
Please Select One
Third
Fourth
Fifth
Sixth
Seventh
*
Student Status
Please Select One
Returning Student
New Student
If you are interested in registering your child for grades 3-7, you must be a member of Temple Beth Torah. Please call Kathy in the main office to apply for membership 631 643-1200 x 310
Please submit your information, so we can assist you.
*
Cell #
*
Last Name
*
First Name
*
Email
*
Child's Name
*
Child's grade as of 9/23
*
Student's First Name
*
Student's Last Name
Student's Preferred Name
*
Student's Gender
Please Select One
Male
Female
*
Student's Date of Birth
Student's Hebrew Name
Please write in English transliteration
*
Student's Public School
*
Parent 1 Last Name
*
Parent 1 First Name
*
Parent 1 Cell Number
(555)-867-5309
*
Parent 2 Last Name
If there is no second parent on the account, please type N/A.
*
Parent 2 First Name
If there is no second parent on the account, please type N/A.
Parent 2 Cell Number
(555)-867-5309
If there is no second parent on the account, please type N/A.
*
Parent 1 Email
Parent 2 Email
*
Home Address
*
City
*
Zip Code
*
Attended another Religious School
If yes, please tell us what grade(s) and what school. If no, please type N/A.
*
Attended TBT Nursery School
Please Select One
Yes
No
Would you like a Seit, Para or Shadow for you child?
Yes
No
2023 -24 RS Registration Deposit
Wed, September 27 2023 12 Tishrei 5784