Today is December 17, 2017 -

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Temple Beth Shalom

A Warm and Welcoming Jewish Community

40 Wellington Dr
Palm Coast, Florida 32164
Phone: 386-445-3006
Email: office@tbspalmcoast.org

Religious School

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School Fees/Application

Religious School Fees

Chevra & Sabra Temple Members                  $150/child** per year

Levi Temple Members             $125/child** per year

Chai & Double Chai Temple Members                  $0/child per year

Non Members                      $550/child** per year

**2nd child / 10% discount

**3rd and subsequent children / 20% discount

PRE REGISTRATION DISCOUNT

By August 1, 2017

$50 off per child

All fees due in full or arranged payments by

November 1, 2017.

BAR/BAT MITZVAH

Temple Members:

$75 on the year prior to Bar/Bat Mitzvah

Additional $75 due directly before Bar/Bat Mitzvah

Non Members:

Private Agreement/Contract with Rabbi

School Registration Information

Today’s Date:_________________

 

Child’s Name: ___________________________

Hebrew Name: __________________________

 

Address:                                                  _

City: ________________________ State:____ Zip:_______

Home Phone: _______________ Cell: __________

Date of Birth: ______________

Place of Birth:___________

Public School: __________________  Grade____ Parent 1’s Name: _____________________

Hebrew Name: ______________________

Work/Cell__________________

Email:______________________

Parent 2’s Name:______________________

Hebrew Name:   _____________________

Work/Cell_________________

Email:______________________

Emergency Contact

Name: ______________________________

Relationship:

Address: _____________Phone:_______________

(circle one)

Parent 1 Jewish?        YES   or   NO

Ancestral  Background: Kohen        Levi         Israel

 

Parent 2 Jewish?        YES   or   NO

Ancestral  Background: Kohen        Levi         Israel

 

Temple Member?   YES or NO

Sustaining Member?   YES or NO

Chai Member?   YES or NO

 

Interested in Volunteering in School?  YES or NO

 

Areas of Interest:(circle one/more)

Art Projects                  Tutoring                 Chaperone

Teacher Aide         Snacks         Other_________________

(we will contact you)

Signature:__________________________________

 

 

 

 

 

 

emergency_card