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2020-21 Bet Sefer Enrollment
Thank you for joining us for the 2020-21 School Year! This year, we are accepting enrollment for grades 2-6 from new households that are not members as a trial period for your family. If you wish to continue with Bet Sefer the following year, we ask you to support our community by becoming members. If you are enrolling multiple children in Bet Sefer, please fill out one form per child.
All tuition is due in full by 10/31/20.
You will receive an immediate email verification upon completing the enrollment process. If you don't receive one, your enrollment has not been received.
Contact the office
with any questions.
All Bet Sefer information, including a school calendar, can be found
here
.
Until further notice, all Bet Sefer sessions will happen via Zoom. See you in October!
*
Parent Name (first and last)
*
Parent Email
*
Cell phone
*
Student's Name (first and last)
*
Student's Day School
*
Student's date of birth
*
Grade and Tuition
Please Select One
Thursday Program - $1200
2nd---1200
3rd---1200
4th---1200
5th---1200
6th---1200
Please provide the following medical information about your child in case of an emergency:
*
My child's vaccinations are up to date:
Please Select One
Yes
No
*
Insurance Provider
*
Insurance ID
*
Physician Name
*
Physician Phone Number
Allergies, relevant medical conditions, and actions to take:
My child carries an EpiPen
My child carries an EpiPen
Or Shalom requires 2 non-parental/guardian emergency contacts.
*
Emergency Contact #1
*
Emergency Contact #1 Phone
*
Emergency Contact #2
*
Emergency Contact #2 Phone
Tue, March 2 2021 18 Adar 5781