2019-2020 TEMPLE BAT YAM RELIGIOUS SCHOOL REGISTRATION STUDENT INFORMATION
INSTRUCTIONS: Please fill out one form PER CHILD
Email address *
Student's FIRST Name
Your answer
Student's MIDDLE Name
Your answer
Student's LAST Name *
Your answer
Student's Hebrew Name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Is your child new to Temple Bat Yam's Religious School *
If yes, to above question, did your child attend another Religious School
Please provide the school name, location and grades attended
Your answer
IF YOU ARE NEW TO OUR SCHOOL.... WELCOME!
Please save the date for our Consecration of new students and students Pre-K through first grade on Friday September 28 at 7:30 pm during Shabbat Services and followed by an Oneg to celebrate!
Student's Gender *
Your answer
Student's Pronouns
Your answer
Secular School Grade as of September 2019 *
Name of Secular School *
Your answer
Student's Primary Home Phone *
Format should be XXX-XXX-XXXX
Your answer
Student's Primary Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Student's email if applicable
Your answer
Student's Cell Phone Number if applicable
Format should be XXX-XXX-XXXX
Your answer
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