School for Jewish Living Registration 2025-2026

Temple membership is required for all enrolled students’ families. For information about Temple Beth El and how you can join our vibrant Jewish community, please contact the Temple Office at (850) 438-3321 or admin@templebethelofpensacola.org.

Student's Name*

First NameLast Name

Hebrew Name (if known)

Date of Birth*

Date

Grade and Name of School*

Student is registering for*

Sundays Only ($350)Sundays and Hebrew Instruction ($600) Available to students Grade 3 and above

Does your child have any acute allergies or medical conditions?*

YesNo

Please Explain

Does your child have any learning or behavioral differences that their School for Jewish Living teacher should know about?*

YesNo

Please Explain

If your child has an IEP, please share a copy of relevant pages with SJL Director, Andrea Fleekop at andreafleekop@gmail.com

Is there anything else you would like us to know about your child?

Would you like to register another child?*

YesNo

Student's Name*

First NameLast Name

Hebrew Name (if known)

Date of Birth*

Date

Grade and Name of School*

Student is registering for*

Sundays Only ($350)Sundays and Hebrew Instruction ($600)

Does your child have any acute allergies or medical conditions?*

YesNo

Please Explain

Does your child have any learning or behavioral differences that their School for Jewish Living teacher should know about?*

YesNo

Please Explain

If your child has an IEP, please share a copy of relevant pages with SJL Director, Andrea Fleekop at andreafleekop@gmail.com

Is there anything else you would like us to know about your child?

Would you like to register another child?*

YesNo

Student's Name*

First NameLast Name

Hebrew Name (if known)

Date of Birth*

Date

Grade and Name of School*

Student is registering for*

Sundays Only ($350)Sundays and Hebrew Instruction ($600)

Does your child have any acute allergies or medical conditions?*

YesNo

Please Explain

Does your child have any learning or behavioral differences that their School for Jewish Living teacher should know about?*

YesNo

Please Explain

If your child has an IEP, please share a copy of relevant pages with SJL Director, Andrea Fleekop at andreafleekop@gmail.com

Is there anything else you would like us to know about your child?

Would you like to register another child?*

YesNo

Student's Name*

First NameLast Name

Hebrew Name (if known)

Date of Birth*

Date

Grade and Name of School*

Student is registering for*

Sundays Only ($350)Sundays and Hebrew Instruction ($600)

Does your child have any acute allergies or medical conditions?*

YesNo

Please Explain

Does your child have any learning or behavioral differences that their School for Jewish Living teacher should know about?*

YesNo

Please Explain

If your child has an IEP, please share a copy of relevant pages with SJL Director, Andrea Fleekop at andreafleekop@gmail.com

Is there anything else you would like us to know about your child?

Parent / Guardian 1*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent / Guardian 2

First NameLast Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Relation*

I am interested in helping with (please check at least one):*

Substitute TeachingHebrew TutorHelping with art, music, cooking, or other special activities.Helping with Purim Carnival and other special programs.Serving on SJL Parent Association

Students Registering for Sunday Only ($350)

Students Registering for Sunday & Hebrew Instruction ($600)

Early bird discount of $25 is automatically applied to applications received on or before August 1, 2025.

Sibling discount of $25 per additional child is automatically applied to those registering more than one student.

Subtotal

Date

Deadline

Date

Early Bird Discount Value

Subtotal 2

Multi Child Discount Value

Multi Child Discount Total

First Child Full Price

Optional Donation to Scholarship Fund

Total Amount

If applying for financial assistance or seeking a payment plan please contact Andrea Fleekop at andreafleekop@gmail.com. Please submit online registration form even if no payment is made at this time.

I would like to pay by:

Credit CardCash / Check

If paying by check please mail payment to Temple Beth El of Pensacola, 800 N. Palafox St. Pensacola, FL. 32501. In memo line please write: SJL Tuition.

Credit Payment

USDRegistration

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

School for Jewish Living Registration 2025-2026

Parent/Guardian Information

Emergency Contact

Volunteer with School for Jewish Living

Payment