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Religious School Registration 2022-2023
Please verify reCaptcha before submitting the form.
Student Information
*
Student's First Name:
Student's Middle Name:
*
Student's Last Name:
*
Child's DOB
*
Street 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 Code:
*
Student Grade:
*
Does your child have any allergies?
Please Select One
YES
NO
Please list and explain any allergies your child has:
Parent/Guardian Information
*
Parent/Guardian 1 First Name:
*
Parent/Guardian 1 Last Name:
*
Relationship to student:
Parent/Guardian 2 First Name (if applicable)
Parent/Guardian 2 Last Name (if applicable)
Relationship to student:
*
Parent/Guardian 1 Home Phone
*
Parent/Guardian 1 Cell Phone
Parent/Guardian 1 Work Phone
*
Parent/Guardian 1 Email
Parent/Guardian 2 Home Phone
Parent/Guardian 2 Cell Name
Parent/Guardian 2 Work Phone
Parent/Guardian 2 Email
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 One
YES, I am a member at B'nai Shalom of Olney.
NO, I am not a member at B'nai Shalom of Olney.
*
Please select your school option:
Please Select One
Grade K-2 Bonim - $900.00
Grade 3-5 Machar - $1,150.00
Grade 6-7 Kadima - $1,150.00
Grade 8-9 Tikkun Olney - $650.00
Grade 10 Confirmation - $650.00
*
Please select your school option:
Please Select One
Grade K-2 Bonim - $1050.00
Grade 8-9 Tikkun Olney - $800.00
Grade 10 Confirmation - $800.00
*
Registration Fee - $100.00
Registration Fee - $100.00
*
Registration Fee - $150.00
Registration Fee - $150.00
*
Tuition Billing Options
Please Select One
Option 1: Ten equal payments from August to May (Default)
Option 2: Two equal payments in August and January
Option 3: Full payment in September
Would You Like Us To Process Tuition Payment Via ACH?
Yes
No
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:
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 from the Religious School.
I hereby grant permission for my child to be involved with the Religious School and allow any release of pictures 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
Thu, April 25 2024 17 Nisan 5784