TBA Religious School Registration Non-member 2022-23

Home
Donate

Home
Donate

Email address

Student's First Name

Student's Last Name

Student's Hebrew Name

Please include the child’s Hebrew name. If you do not know it or if the child does not have one, please contact Deb Schutzman at 978-927-3211, ext.4, or deb.schutzman@tbabeverly.org

Date of Birth

Grade as of September 2022

Is this your child's first year at TBA Religious School?

YesNo

Parent's Full Name

Parent's Hebrew Name

Parent's Full Name

Parent's Hebrew Name

Address

May we add your child’s name & family’s contact information to the school directory?

YesNo

May we use your child’s photograph for promotional purposes (brochures, web, etc)?

YesNo

Home Phone

Cell Phone

If parents are divorced or separated, please complete the following:

Custodial Parent's Full Name

Do you wish all mailings regarding the child go to both parties?

YesNo

Sat, April 1 2023 10 Nisan 5783