Serving Hudson County’s Progressive Jewish Community for Over 150 Years

New Student Enrollment

Registration Form

Admission to the Temple Beth-El Religious School is a privilege of Temple Beth-El Membership. If your have not already done so, please submit your membership application, Terumah pledge form and make your first payment before submitting your school application.

We look forward to another wonderful school year.

Continuing Students with no Significant Changes in Profile Information – Parents, please use the returning students form.
Families with New Students or Changes in Family Information (children of current members) – Please register everyone here.

Prospective Members: Welcome to the Temple Beth-El Religious School. Before filling out any registration form, please speak to Rabbi Moritt (Temple Beth-El, Jersey City, 201-333-4229).

TUITION is $700 per year for the first student and $650 for each sibling for Temple Beth-El students. Tuition is in addition to your Terumah pledge.

Please note that this is a two-page form, with required fields on both pages.

***IMPORTANT: If would like to change the automatic charges to your credit/debit card during the course of the year, please do not complete this form – contact the office instead.***

"*" indicates required fields

Family Information

Children*

Child's Name

Hebrew Name

Date of Birth

Grade in School as of Sept. 2022

Please describe the previous Religious School experience of your child(ren).

Parent #1 - Name*

Parent #1 - Cell Phone Number*

Parent #1 - Home Phone Number

Parent #1 - Email*

Parent #1 - Address*

Street Address Address Line 2 City State ZIP Code

Parent #2 - Name

Parent #2 - Cell Phone Number

Parent #2 - Email

Parent #2 - Home Phone Number

Is Parent #2's address the same as Parent #1's?

Yes

Parent #2 - Address

Street Address Address Line 2 City State ZIP Code

Emergency Contact Information

If I (we) cannot be reached in case of an emergency, please contact one of the following:

Emergency Contacts*

Please list at least 1 emergency contact.

Name

Cell Phone

Home Phone

Additional Preferences and Information

Photo and Video Permission*

You have my permission to publish photographs and/or videos of my child(ren) taken at Temple events or services in the Temple newsletter, web site or Facebook page, without their names.

Yes

My child(ren) has/have an IEP or 504 plan at secular school.*

Yes

We require that our students are fully immunized according to New Jersey State school regulations. I attest that my child is immunized..*

I attest that my child is immunized.

Please advise whether your child is vaccinated against Covid-19.*

Yes, my child is vaccinated.

No, my child is not vaccinated.

My child(ren) has/have food or other allergies.*

Yes

My child(ren)'s allergy/allergies require the use of an epi-pen.*

Yes

Please list allergies in the box below and which, if any, require an epi-pen.

Any learning difficulties?

(Please include child's name and describe. You may also call Rabbi Moritt to discuss confidentially.)

Is there any other information about your child or family that would be helpful for us to know?

Parent #1 - Interests and Skills

We welcome your involvement in our school. Please share your interests and skills with us.

Class Parent

Leading Art or Craft Project

Cooking with Children

Organizing Field Trips or Special Events

Organizing Social Events for Children

Substitute Teaching

Youth Education Committee

Taking Photos

Assisting with Family Shabbat (First Friday) Dinners

Parent #2 - Interests and Skills

We welcome your involvement in our school. Please share your interests and skills with us.

Class Parent

Leading Art or Craft Project

Cooking with Children

Organizing Field Trips or Special Events

Organizing Social Events for Children

Substitute Teaching

Youth Education Committee

Taking Photos

Assisting with Family Shabbat (First Friday) Dinners

I (we) would like to be involved, but in some other way:

Payment Information

Number of Children*

Tuition is $700 for the first student and $650 for each sibling.

Payment Schedule*

Payment in full now

Two Automated Payments (half now, half in 3 months)

Three Automated Payments (1/3 now, equal payments of 1/3 every 10 weeks)

One payment of 25% now*, and the I will go on the website for each additional payment. Full payment is due February 1st.

I will contact Lisa McNerney to discuss alternative payment or scholarship.

*Subsequent one-time payments can be made on our Donation/Payments page.

Total Payment

This includes an extra 2.2% to cover the credit card convenience fee.

Price: $0.00

Automatically Recurring Payment (2 Payments) - Your individual payment amount will be:

This includes an extra 2.2% to cover the credit card convenience fee.

Price: $0.00

Automatically Recurring Payment (3 Payments) - Your individual payment amount will be:

This includes an extra 2.2% to cover the credit card convenience fee.

Price: $0.00

One Payment of 25% Now - Your payment amount will be:

This includes an extra 2.2% to cover the credit card convenience fee.

Price: $0.00

Challah Subscription

Fresh challah is available for pick up at the Temple each week on Thursday. There is no challah on weeks school is not in session.

Yes, add a challah subscription to my registration and enjoy fresh challah each Shabbat!

Challah Subscription - Number of Weeks

Please note that upon submission, you will be taken to PayPal's website in order to enter your credit card information.

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New Student Enrollment

Registration Form

Family Information

Emergency Contact Information

Additional Preferences and Information

Payment Information

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Shabbat Information