Returning Students Registration - The Shul of Bellaire

Registration - Returning Students
Sunday - In-person
This form is for Returning Students. For New Students please use this form.
We are currently accepting applications for the 2020/21 school year. Please fill out ALL fields of this form. You can register online and mail your check: Please print this form and include it with your check payable to: The Shul of Bellaire . If you have any questions or concerns you'd like to discuss, please contact us.
Please note that one registration form per child is required.
We look forward to a wonderful year of learning and growth!
Student Information
Full Name*
First NameLast Name
Birth Date*
MonthDayYear
Exact Time of Birth*
HourMinutes
City of Birth*
School*
Grade Entering*
Knowledge of Basic Judaism*
NoneSomewhatOption 3
Hebrew Reading
Does not read HebrewRecognizes the Aleph-BetReads Hebrew slowlyReads Hebrew well
Information
Updated Address, Phone, Email or any other info
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of 'The Shul of Bellaire' to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, 'The Shul of Bellaire' personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in 'Hebrew School' activities and that these pictures may be used for marketing purposes.
Agreement*
I Accept
Name*
First NameLast Name
Initial*
Payment Options
Tuition for the 2020/21 school year is $895 per Child. EARLY BIRD DISCOUNT BEFORE TUESDAY, JUNE 30: $845
Monthly credit-card payment plan or post-dated checks are accepted and must be submitted before the first day of Hebrew School. Thank you!
Charge Amount
$

Payment

Credit Card Check (full amount or up to three post-dated checks of $299.00).

Postal / Zip Code

Country

100% of the proceeds of this donation or payment benefit The Shul of Bellaire.
Should be Empty:

Registration - Returning Students

Student Information

Information

Payment Options