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2022-23 Bet Sefer Enrollment
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Thank you for joining us for the 2022-2023 School Year!
Please make sure you are logged in before you begin the form
.
Your name will be shown in the upper right corner when logged in.
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 Amy to start the process (admin@orshalom.org). Please fill out the form with the correct tuition and we will adjust it after financial assistance has been granted.
Current members should
renew their membership
prior to enrollment.
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 the office 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 Select One
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
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 children under 12 are not eligible for the Covid-19 vaccine at this time.)
Please Select One
Yes
No
*
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
Thu, March 30 2023 8 Nisan 5783