J-Lab Religious School Registration 2024-2025 - Form

Child Information

* Child's First Name:

* Child's Last Name:

* Child's DOB

Child's Hebrew Name:

* Street Address:

* City:

* State:

* Zip Code:

* Student Grade:

* Does your child have any allergies?

Please Select OneYESNO

Please list and explain any allergies your child has:

Parent/Guardian Information

Parent/Guardian 1 Information

* First Name:

* Last Name:

* Relationship to student:

Hebrew Name:

* Home Phone

* Cell Phone

Work Phone

* Email

Parent/Guardian 2 Information

First Name (if applicable)

Last Name (if applicable)

Relationship to student:

Hebrew Name:

Home Phone

Cell Name

Work Phone

Emergency Contact Information

Please fill out the information below if you would like to add additional authorized people to release your child to. The information below will also be contacted in the office cannot reach the parent(s) and/or guardian(s).

First & Last Name

Phone Number

Home Address

Relation to Child

First & Last Name

Phone Number

Home Address

Relation to Child

First & Last Name

Phone Number

Home Address

Relation to Child

School Year Option

* Are you a BSO member?

* Please select your school option:

* For 3rd - 7th Grade Students: Which midweek day of J-LAB classes will your child attend? (If this does not apply to your child, please select "My child is in grades K-2 or 8-10")

* Please select your school option:

* Registration Fee - $150.00

Registration Fee - $150.00

* Tuition Billing Options

Please Select OneOption 1: Ten equal payments from September to June (Default)Option 2: Two equal payments in September and JanuaryOption 3: Full payment in September

Would You Like Us To Process Tuition Payment Via ACH?

About my Child

* Things my child does well:

* Things I am working on with my child:

* My child has difficulty with the following activities:

* My goals for my child in Religious School are:

* Please explain any details you would like for the office and for the teachers to be aware of for your child. If there are any special needs or concerns about your child, please explain below:

We request that prior to the start of religious school you provide a recent photo of your child for identification purposes only by clicking the box below. This will allow the teachers to see the photos with their class lists ahead of the beginning of school year so that they can already put names with faces when religious school classes begin.

Religious School Policy

Religious School registration is considered completed only upon submission of both the application and payment of registration fee in full.
Registering a student in BSO Religious School is a commitment for the entire year and the tuition is to be paid in its entirety. The fee is not dependent on the student's attendance.
The first payment for the year will be due in August. Payments will follow the tuition billing plan as suggested on the application. If students are registered after August, back payments will be required to catch up with the default 5-payment billing cycle.
As a courtesy to assist families with payment of their RS tuition, BSO offers optional, condensed payment schedules.
Regardless of the payment option selected, the school tuition will not be reduced at any point during the semester because of changes in a student's attendance or withdrawal from the program. Exceptions to student withdrawal from the Religious School program and forgiveness of their remaining tuition obligation are limited to the following circumstances: death, loss of employment, or other critical circumstances as determined by the discretion of the Executive Committee and should be referred to the Bookkeeper.
If at any time the Head of Religious School determines that the Religious School program cannot provide an appropriate program for a student, enrollment will be terminated, and any account credits will be applied to any outstanding balances.
The Executive Committee and Head of Religious School reserve the right to make decisions about weather and health-related closings for the safety of our students and staff.

* I/we have read and acknowledge the terms above.

I/we have read and acknowledge the terms above.

* I hereby grant permission for my child to be involved with the Religious School and allow any release of pictures and/or video that include my child from the Religious School.

I hereby grant permission for my child to be involved with the Religious School and allow any release of pictures and/or video that include my child from the Religious School.

* I understand that the Religious School does not discriminate based on race, religion, color, sexual orientation, gender identity, or national original in the admission of students.

I understand that the Religious School does not discriminate based on race, religion, color, sexual orientation, gender identity, or national original in the admission of students.

* I hereby grant permission to the Religious School for evacuating my child to the nearest safe building in case of emergencies.

I hereby grant permission to the Religious School for evacuating my child to the nearest safe building in case of emergencies.

* Parent/Guardian 1: By typing your name in the box below, you verify that all of the information above is true and accurate to your knowledge. Further, you acknowledge that you have given permission and approved all parts of this application form.

* Today's Date

Parent/Guardian 2: By typing your name in the box below, you verify that all of the information above is true and accurate to your knowledge. Further, you acknowledge that you have given permission and approved all parts of this application form.

Today's Date