Religious School Intake Form

THIS FORM IS FOR NEW FAMILIES ONLY.

If you are a current member of B'nai Tikvah, do not submit this form. Instead, login into your ShulCloud account here and click on the Start School Enrollment button to register your child(ren).

How many children are you registering for Religious School?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Date of Birth

Child 1 - Grade Entering September 2021

Child 2 - First Name

Child 2 - Last Name

Child 2 - Date of Birth

Child 2 - Grade Entering September 2021

Child 3 - First Name

Child 3 - Last Name

Child 3 - Date of Birth

Child 3 - Grade Entering September 2021

Adult 1 - First Name

Adult 1 - Last Name

Adult 1 - Email

Adult 1 - Mobile Phone

Adult 1 - Address

Adult 1 - City

Adult 1 - State

Adult 1 - Zip Code

Is there a second Parent/Guardian?

Adult 2 - First Name

Adult 2 - Last Name

Adult 2 - Email

Adult 2 - Mobile Phone

Does the second Parent/Guardian live at the same address?

Adult 2 - Address

Adult 2 - City

Adult 2 - State

Adult 2 - Zip Code

Fri, December 3 2021 29 Kislev 5782