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 (month and year)

Child 2 - First Name

Child 2 - Last Name

Child 2 - Date of Birth

Child 2 - Grade Entering September 2022

Child 3 - First Name

Child 3 - Last Name

Child 3 - Date of Birth

Child 3 - Grade Entering September 2022

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

Mon, June 23 2025 27 Sivan 5785

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