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2024-2025 Beth-El Religious School Registration Form
Please verify reCaptcha before submitting the form.
4900 BRIARHAVEN ROAD, FORT WORTH, TEXAS 76109
(817) 332- 7141 | FAX (817) 332-7157
2024-2025 BETH-EL RELIGIOUS SCHOOL REGISTRATION FORM
IS THERE MORE THAN ONE ADULT MEMBER ON THE ACCOUNT?
Yes
No
PARENT/GUARDIAN CONTACT INFORMATION
*
Primary Member - First Name
*
Primary Member - Last Name
*
Email Address
Mobile Phone Number
*
Secondary Member - First Name
*
Secondary Member - Last Name
*
Email Address
Mobile Phone Number
HOME INFORMATION
*
Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip
Home Phone
STUDENT INFORMATION
*
How many Students are you registering for Religious School?
Please Select One
One
Two
Three
Four
*
Student 1 - Full Name
Student 1 - Hebrew Name
*
Student 1 - Birthday
*
Student 1 - T-Shirt Size
*
What Grade is Student 1?
Please Select Here
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
(Confirmation)
*
Is this Student working with an approved B'nai Mitzvah Tutor?
Please Select Here
Yes
No
STUDENT 1 - ENROLLMENT FEES
Religious School Tuition | $365
(Pre K-10th grade)
Mandatory Small-Group Hebrew | $305
(4th-7th grade)
Confirmation Fee | $140
(10th grade)
*
Student 2 - Full Name
Student 2 - Hebrew Name
*
Student 2 - Birthday
*
Student 2 - T-Shirt Size
*
What Grade is Student 2?
Please Select Here
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
(Confirmation)
*
Is this Student working with an outside Hebrew Tutor?
Please Select Here
Yes
No
STUDENT 2 - ENROLLMENT FEES
Religious School Tuition | $365
(Pre K-10th grade)
Mandatory Small-Group Hebrew | $305
(4th-7th grade)
Confirmation Fee | $140
(10th grade)
*
Student 3 - Full Name
Student 3 - Hebrew Name
*
Student 3 - Birthday
*
Student 3 - T-Shirt Size
*
What Grade is Student 3?
Please Select Here
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
(Confirmation)
*
Is this Student working with an outside Hebrew Tutor?
Please Select Here
Yes
No
STUDENT 3 - ENROLLMENT FEES
Religious School Tuition | $365
(Pre K-10th grade)
Mandatory Small-Group Hebrew | $305
(4th-7th grade)
Confirmation Fee | $140
(10th grade)
*
Student 4 - Full Name
Student 4 - Hebrew Name
*
Student 4 - Birthday
*
Student 4 - T-Shirt Size
*
What Grade is Student 4?
Please Select Here
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
(Confirmation)
*
Is this Student working with an outside Hebrew Tutor?
Please Select Here
Yes
No
STUDENT 4 - ENROLLMENT FEES
Religious School Tuition | $365
(Pre K-10th grade)
Mandatory Small-Group Hebrew | $305
(4th-7th grade)
Confirmation Fee | $140
(10th grade)
EMERGENCY CONTACT INFORMATION
Parents will be contacted first in case of an emergency. Please give the names of two other people who can be notified in case you cannot be reached. Please also provide your child’s physician’s name and telephone number.
Emergency Contact 1 - Name
Phone
Relationship
Emergency Contact 2 - Name
Phone
Relationship
*
Physician Name
*
Physician Phone
Known Allergies:
Medications Taken:
PHOTOGRAPH USE PERMISSION
*
I authorize Beth-El Congregation to use my family’s or my child(ren)’s photograph on its website or in official Beth-El publications without further consideration.
Please Select an Answer Below
Yes
No
ADDITIONAL FEES & OPTIONAL DONATION
Curriculum Fee | $35
(per family)
Additional Contribution to the Beth-El Religious School
(suggested donation is $36)
FINANCIAL ASSISTANCE
No one will be denied an education to Religious School due to financial circumstances. If tuition is a genuine hardship for you, please select the checkbox below and Renee Woods, Executive Director, will be in touch with you to have a confidential conversation.
When you get to the payment gateway, select
Bill My Account
. Once you talk with the Executive Director an adjustment will be applied to your account and you will be notified to set up your payment(s).
I will require Financial Assistance for the 2024-2025 Religious School year
TOTAL DUE
Grand Total to the Beth-El Religious School
Mon, December 9 2024 8 Kislev 5785