Congregation B'nai Torah Religious School Registration 2019-2020
Please complete the information below to register your child(ren) for Religious School. Your form is complete upon receipt of a $100 deposit/student, which will be applied towards tuition. For additional information, contact Elizabeth Bloch, Director of Education, at ebloch@bnaitorah.org.
Family Information
Parent 1
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Primary Phone Number *
Your answer
Alternative Phone Number
Your answer
Home Address Street *
Your answer
Home Address City *
Your answer
Home Address Zip Code *
Your answer
Parent 2
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Primary Phone Number
Your answer
Alternative Phone Number
Your answer
Home Address Street (if different from parent 1)
Your answer
Home Address City (if different from parent 1)
Your answer
Home Address Zip Code (if different from parent 1)
Your answer
Additional Parents and/or Guardians
Please share names and email addresses for additional parents, guardians, and or grandparents who would like to receive regular communication concerning religious school
Name(s) and Email Address(es)
Your answer
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