Congregation Beth El
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CONGREGATION BETH EL RELIGIOUS SCHOOL
APPLICATION FORM 2023-2024
Are you currently a member of Congregation Beth El?
(Required)
YES
NO
Please click below to fill out a new member application before continuing the student application.
New Member Application
Please submit one application for each student.
Fees are $800 per student. Grade 7/8 students $1000.
Name of Student
(Required)
First
Last
Date of birth
(Required)
MM slash DD slash YYYY
Preferred pronouns
please select
he/him/his
she/her/hers
they them/theirs
prefer not to answer
Student's Hebrew Name
(Required)
Grade starting September 2023
(Required)
JK
SK
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
(Required)
NEW STUDENT
RETURNING STUDENT
Previous religious school attended and grade completed
Cognitive, academic, behaviour information:
Allergies, Medical concerns, other:
Home Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Parent 1 - Name
(Required)
First
Last
Email
(Required)
Cell Phone
(Required)
Parent 2 - Name
First
Last
Email
Cell Phone
EMERGENCY CONTACT
Name
(Required)
First
Last
Relationship to Child:
(Required)
Email
Cell Phone
(Required)
PERMISSION TO PICK UP FROM SCHOOL
Name
First
Last
Email
Cell Phone
Permission to post photos on website:
(Required)
Yes
No
Permission to share contact information with other school families:
(Required)
Yes
No
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