Temple Emek Shalom Shul School Registration 2022-23 (5783)!

TES Shul School Registration Form

5783, 2022-23 School year
Child #1 Name: *

First Name Last Name
Birth Date: *

Month Day Year
Age: *
Grade entering: *
(please put ACTUAL student grade level, and for some of you, with whom we have talked about alternative placement, feel free to note that in comments section)
Allergies, interests, learning needs, or other important information for us to know about your child:
Do you have additional children?

Yes No

Child #2 Name:

First Name Last Name
Birth Date:

Month Day Year
Age:
Grade entering:
(please put ACTUAL student grade level, and for some of you, with whom we have talked about alternative placement, feel free to note that in comments section below)
Allergies, interests, learning needs, or other important information for us to know about your child:
Child #3 Name:

First Name Last Name
Birth Date:

Month Day Year
Age:
Grade entering:
(please put ACTUAL student grade level, and for some of you, with whom we have talked about alternative placement, feel free to note that in comments section)
Allergies, interests, learning needs, or other important information for us to know about your child:

Thank you (almost done).

Thank you for taking the time to complete this online registration form. If you have any trouble with the process or have any questions, please feel free to email or call Rabbi Julie (rabbijulie@emekshalom.org, 907-460-6708). After you PRESS "SUBMIT" you will receive an email confirmation with instructions for how to complete/set up tuition payment (if you have not already done so here).
TES members: Please contact Rabbi Julie directly if in need of financial aid information.
Should be Empty:

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TES Shul School Registration Form