TBT Religious School Registration Form 2023-24

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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 OneGrades K, 1 or 2Grades 3-7

* TBT Member

Please Select OneYesNo

* Are You Temple Beth Torah Members?

Please Select OneYesNo

* What Grade is your child entering in September 2023?

Please Select OneKindergartenFirstSecond

* What Grade is your child entering in September 2023?

Please Select OneThirdFourthFifthSixthSeventh

* Student Status

Please Select OneReturning StudentNew 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 OneMaleFemale

* 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 OneYesNo

Would you like a Seit, Para or Shadow for you child?

YesNo

2023 -24 RS Registration Deposit

Sat, April 20 2024 12 Nisan 5784

Temple Beth Torah

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