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Temple Israel Youth Learning Registration 2017 - 2018

We are pleased that you have chosen to register your children at Temple Israel for the 2017­ - 2018 school  year. We look forward to a year of learning and growing together!

Please complete the information below as the first step in your registration process. The payment process is noted at the end of the form. Once we receive this form we will email you an Emergency Medical Form for each of your registered children. That form should be completed, signed and returned either by mail or by hand at the start of the first day of Religious School. 

Parent 1

Parent 2

(If Different)

Child 1

(If s/he has one)

Yes
No - (NOTE: this must be discussed with educator before child can begin school)
Parent 1
Parent 2
Both Parents
Other

We want to be sure that we offer each of your children the most successful learning and social environment possible. As our partners in this effort, we ask that you respond openly to the following questions, knowing that we have your child's best interests at heart. ALL INFORMATION WILL BE KEPT IN THE STRICTEST CONFIDENCE.

HEBREW LEARNING and PRAYER EXPLORATION

PRAYER LEARNING I - Wednesday 4:15 - 5:10
BEGINNING HEBREW READING - Wednesday 4:30 - 5:30
PRAYER LEARNING II - Wednesday 5:15 - 6:10

Child 2

(If s/he has one)

Yes
No - (NOTE: this must be discussed with educator before child can begin school)
Parent 1
Parent 2
Both Parents
Other

HEBREW LEARNING and PRAYER EXPLORATION

PRAYER LEARNING I - Wednesday 4:15 - 5:10
BEGINNING HEBREW READING - Wednesday 4:30 - 5:30
PRAYER LEARNING II - Wednesday 5:15 - 6:10

Child 3

(If s/he has one)

Yes
No - (NOTE: this must be discussed with educator before child can begin school)
Parent 1
Parent 2
Both Parents
Other

HEBREW LEARNING and PRAYER EXPLORATION

PRAYER LEARNING I - Wednesday 4:15 - 5:10
BEGINNING HEBREW READING - Wednesday 4:30 - 5:30
PRAYER LEARNING II - Wednesday 5:15 - 6:10
Names
Child(s) Grades
Home Address
Home Phone
Parents' Cell Phone
Parents' Email Addresses
Yes
No

Emergency Medical Information

Please be aware that once we receive your registration forms we will email you the Emergency Medical  Form. Please type the required information and then print and sign the form. You can mail it prior to the  start of school (Iris Koller/Temple Israel/1901 N. Flagler Drive/West Palm Beach, FL 33407) or bring it on  the first day of school

Kindergarten - Grade 3 $180
Grade 4 - Grade 7 $360

PAYMENT OPTIONS

To pay in full using Credit Card or Electronic Check (ACH), please refer to the Payment Information section at the bottom of this form. NOTE: A 3% PROCESSING FEE IS ADDED TO ALL CREDIT CARD PAYMENTS

To set up automatic recurring payment installments using a Credit Card or Electronic Check (ACH) please refer to the installment payment question at the bottom of this form.

If you are not currently a Temple Israel member, we look forward to welcoming you and your family into the congregation. Please contact our Temple Administrator, Jennifer Green Baer (Jennifer@temple-israel.com).

Our membership rates vary depending upon the age of the adults in the family. Families who are joining as their children begin Religious School are gifted with their first year of Temple Israel membership as long as their oldest child is under grade 4.

Temple Israel will not turn away any family due to financial need.

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

Total: