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2024 - 2025 Religious School Registration

Check which option applies to you

Member

Non-Member (K-3 only)

To preserve the environment and to reduce costs, email will be the primary form of communication for Religious School matters. Please set your junk mail/spam filters to allow emails from [email protected] and [email protected]. Whenever possible, information will also be included on the Temple’s website at www.tisbny.org. Therefore, we encourage you to check your emails and the website regularly

Parent/Guardian Information

* Parent 1 Name

Last Name, First Name

Check if Primary Contact

Yes

Jewish?

Yes

* Home Phone

Cell Phone

Address

* Email Address

Phone During School Hours

Does child live with both parents?

Yes

If no, are there custodial issues we should be aware of?

Yes

If yes, would you like us to contact you?

Yes

Parent 2 Name

Jewish?

Yes

Home Phone

Cell Phone

Address

Email Address

Phone During School Address

Child Information

* Child 1 Name

Last Name, First Name

* Public School Grade

(Sept. 2024 )

Child 2 Name

Public School Grade

(Sept. 2024)

Child 3 Name

Public School Grade

(Sept. 2024 )

Child 4 Name

Public School Grade

(Sept. 2024)

Do any of your children have special learning needs?

Do any of your children have a public school I.E.P.?

Do any of your children require daily prescription medication?

Tuition

Member Fees

Kindergarten - Grade 1

Enter the number of students

Grade 2-3

Alternative Learning Class

Grade 4

Grades 5 - 7

Grades 8 - 10

Grades 11 & 12

For families with three children attending the Religious School in grades K through 10, there is a $100 reduction off the total tuition package. And for families with four or more children attending the Religious School in grades K through 10, there is a $200 reduction off the total tuition package. The deduction will be split equally across the monthly payments.

I would like to pay the balance in installments with the first transaction processed today.

Recurring Payment

I want to make a recurring payment

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Please bill me each period in the amount of

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Recurring Total:

Account Details

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Checking Account

Name on the Account

Bank Name

Routing Number

Is usually located between the symbols on your check.

Account Number

Typically comes before the symbols. Its exact location and number of digits varies from bank to bank.

Confirm Account Number

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Comments

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