Temple Emanuel Religious School

Family Information

Parents

Father: ___________________________________________________________

Last name First name Work Phone Home phone

Mother ___________________________________________________________

Last name First name Work Phone Home phone

Address: ___________________________________________________________

Street City State Zip

Email: ______________________________________________

Students

NAME	BIRTH DATE	GRADE	SUNDAY SCHOOL $350 (per child)	HEBREWSCHOOL $200.00 (per child)	ADDITIONAL FAMILY SHABBAT ($8.00 ea.)

Describe any physical or learning problems which might affect your child’s performance and/or participation at religious school: ____________________________________________________________________________________________________________________________________________

Tuition:

Registration fee: $30.00 (per family)

Sunday School: $350.00 (per student)

HebrewSchool: $200.00 (per student)

B’nai Mitzvah fee: $75.00

Additional Family Shabbat Dinner:$8.00 (per person)

**LATE FEE OF $50.00 IF NOT PAID IN FULL BY February 1, 2010

Minimum Payment due at Registration (per student): $200.00 (of Sunday School Fee);

½ Hebrew School Fees;

Full Registration Fee;

Full B’nai Mitzvah Fee.

· Sunday school fee includes Class Family Shabbat Dinner for 3 people and weekly Sunday school snack.

· Additional Class Family Shabbat Dinner Fee is $8.00 per person

Please make your check payable to “Temple Emanuel Sisterhood”.

______________________________________________________________________For office use only—2009-2010 School Registration

Date Rec’d ________________

Rec’d by ________________

Amount Due ________________

Amount Paid ________________

Balance: ________________