Religious School Registration 2021-2022

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Religious School Registration 5782
(2021-2022 School Year)

We are looking forward to welcoming our students back to school and back to the building this fall! Please complete this form for your child(ren) to register for the year. There is a non-refundable $180 deposit per child to reserve your spot that will cover the $40 registration fee and the rest will be applied to your child's tuition upon completion of enrollment.

Please register by July 1, 2021 so we can determine how many classes we need per grade to safely accommodate our students onsite.

Note: Payment is by credit card or ACH transfer only. If you would like to pay via ACH bank transfer, you must be logged into your Adas Israel account.

* Guardian 1 Full Name

* Email Address

* Preferred Phone Number

Guardian 2 Full Name (if applicable)

Email Address

Preferred Phone Number

* How Many Chidren Are You Submitting An Application For?

First Child Information

* Child First Name

* Child Last Name

* Child's Grade for the 2021-2022 School Year

Child's Secular School

Second Child Information

* Child First Name

* Child Last Name

Child's Grade for the 2021-2022 School Year

Child's Secular School

Third Child Information

* Child First Name

* Child Last Name

Child's Grade for the 2021-2022 School Year

Child's Secular School

Fourth Child Information

* Child First Name

* Child Last Name

Child's Grade for the 2021-2022 School Year

Child's Secular School

* Are you a member in good standing at Adas Israel?

Please Select OneYesNo, I intend to register as a non-memberNo, but I would like membership information

Who is filling out this form?

* Your Full Name

* Your Email

* Your relationship to the child(ren)

Total registration fee:

Thu, April 25 2024 17 Nisan 5784