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2022 Religious School Registration

Please include information for each child registering for our program. 
You will need to choose the tuition category for each child. If you have a 7th grade student who will celebrate bar/bat mitzvah this year, you need to choose both the 4th-7th grade category AND the B'nai Mitzvah category. If you will need a scholarship this year please indicate this in the field provided. 
Emergency Contact Information
Please fill in all of the fields below.
In case of an accident or sudden illness, when a parent or guardian is unavailable, I authorize a Temple Or Rishon representative to obtain medical care for my child, including necessary transportation, in accordance with their best judgment.  I further authorize the doctor named above to provide the care and treatment he/she considers necessary.  If the physician designated above is unavailable, I authorize such care and treatment to be performed by a licensed physician selected by the temple representative.  I agree to pay all costs incurred as a result of the foregoing. (Please type your name in the box to provide your consent)

 
If you indicate that one of your children has an education plan, we will contact you for more information. 
By typing my name in the space above, I give permission to TOR to use photographs of my child, who is under the age of 18, on the TOR website, temple newsletter or in promotional materials. 
(Please type your name to indicate your support. If you do not want your child's image in any of our media, please type the word "Decline")
 
Click Submit to move to the payment screen. If you are logged in, you will have options to pay in full or charge your account. Charging your account will allow you to make monthly payments.  If you have any questions, please reach out to Shinae Kim in our main office, or Mary Frank. 
Tue, October 3 2023 18 Tishrei 5784