Religious School Registration 2017-2018

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Registration 2017-2018
Welcome to our new online school registration form. This form allows you to register BY FAMILY, and offers an easy online payment option for tuition. If you prefer to send a check, that is fine. Contact Lynn Ginzberg with any questions: 203-389-2111 or cbj.school@gmail.com.

FAMILY INFORMATION

* New / Returning Family

* Parent #1 Last Name

* Parent #1 First Name

* Relationship to Student(s)

Parent #1 Work Phone

* Cell Phone

* Parent #2 Last Name

* Parent #2 First Name

* Relationship to Student

* Home Address for Student(s)

* City, State, Zip

* Home Phone

* Emergency Contact Information

Please provide the name and number of a local friend or family member who can be contacted in the case of emergency (if both parents are unreachable).

STUDENT INFORMATION

* Student #1 First Name

* Last Name

* Grade

Hebrew Name

* Date of Birth

MM/DD/YY

* Public School

T-Shirt Size

Child's Doctor

Name and phone number

Allergies or medical conditions

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

If no more children skip to next section

Student #2 First Name

Student #2 Last Name

Grade

Student #2 Hebrew Name

* Date of Birth

MM/DD/YYYY

Public School

T-Shirt Size

Child's Doctor

Name and Phone Number

Allergies or medical conditions

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

If no more children skip to the next section

Student #3 First Name

Student #3 Last name

Grade

Hebrew Name

Date of Birth

mm/dd/yy

Public School Grade

T-Shirt Size

Child's Doctor

Name and Phone Number

Allergies and Medical Conditions

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

If no more children skip to the next section

Student #4 First name

Student #4 Last name

Hebrew Name

Date of Birth

mm/dd/yy

Public School grade

T-Shirt Size

Child's Doctor

Name and Phone Number

Allergies and Medical Conditions

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

TUITION

Preschool      $0      Sundays 9:00 -11:30am
Lower School (K, 1, 2)    $600 Sundays 9:00 - 11:30am (Free kindergarten if student did NOT attend Gan Hayeled Sundays Preschool)
Upper School (3 - 7) $860   Sundays 9:00 - 11:30am / Wednesdays 3:30 - 5:30pm (7th graders will be provided with a slightly modified schedule)
Bus from Beecher (3 - 7) $225

Gan Hayeled Sundays (FREE)

$600 Lower School (K 1 2) Sundays Only

$860 Upper School (3-7) Sundays and Wednesdays

$225 Bus from Beecher to Bnai Jacob Wednesdays

ONLINE PAYMENTS
Registration requires a minimum payment of at least $100.

Total

Fri, April 19 2024 11 Nisan 5784