2022-23 Bet Sefer Enrollment Non-Member

Thank you for joining us for the 2022-23 School 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 in subsequent years, we ask you to support our community by becoming members. We do not accept non-members to our 7th grade. If you are enrolling multiple children in Bet Sefer, please fill out one form per child.

Bet Sefer will be held on Tuesdays from 4:30 - 6:00 pm at The Brandeis School of SF, 655 Brotherhood Way, San Francisco, CA 94132 beginning October 25, 2022.

Financial aid is available. Contact Executive Director Amy Mallor to start the process (amy@orshalom.org). Please fill out the form with the correct tuition and we will adjust it after financial assistance has been granted.

All tuition is due in full by 05/01/23. You may pay in installments. If paying by check or requesting financial aid, please choose the 'Bill my Account' option on the payment page.

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 Amy Mallor with any questions.

All Bet Sefer information, including a class schedule, can be found here.

* Parent Name (first and last)

* Parent Email

* Student's Name (first and last)

* Student's Day School

* Student's date of birth

* Grade and Tuition

Please provide the following medical information about your child in case of an emergency:

* Has your child received the Covid-19 vaccination? (We understand that the Covid-19 vaccine is not available for children under the age of 12 at this time.)

* My child's vaccinations are up to date:

* Insurance Provider

* Insurance ID

* Physician Name

* Physician Phone Number

Allergies, relevant medical conditions, and actions to take:

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

Fri, June 9 2023 20 Sivan 5783