Shabbat School Registration

Shabbat School Registration - School Starts August 27, 2022

Tuitition for Shabbat School is $500 per student. The Jewish Federation offers financial assistance for those who qualify. More information can be found on their website at https://www.jfedsrq.org
Parent / Guardian Name

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.
Relationship to Applicant
1 - Student Name

First NameLast Name
Age
Birthdate

MonthDayYear
Date
Gender

MaleFemale
Previous Hebrew School Experience
2 - Student Name

First NameLast Name
Age
Birthdate

MonthDayYear
Date
Gender

MaleFemale
Previous Hebrew School Experience
3 - Student Name

First NameLast Name
Age
Birthdate

MonthDayYear
Date
Gender

MaleFemale
Previous Hebrew School Experience
4- Student Name

First NameLast Name
Age
Birthdate

MonthDayYear
Date
Gender

MaleFemale
Previous Hebrew School Experience
concat names
Amount Paying?
How will you be paying?

CheckCredit Card
Please consider paying an additional $3.00 to cover the bank fees incurred when using a credit card

Yes, I will be happy to pay an additional $3.00 to cover the bank feesNo thank you, charge my credit card the original amount
fee to be paid?
Type a question
The cost of tuition for Shabbat School is $500 per student. Please write "Shabbat School Tuition" in the memo part of your check and mail it to:

Temple Beth El

5150 Peridia Blvd. East

Bradenton, FL 3420

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Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Shabbat School Registration - School Starts August 27, 2022