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Religious School Registration Form 2020-2021

Please fill out one form per child

Student Name

Address

Phone

Parents Names

Phone 1

Phone 2

Email 1

Email 2

Options 1

	I am registering my child for In-Person classes for the 2020-2021 School Year.
	I am registering my child for Virtual classes for the 2020-2021 School Year.

I understand and agree to abide by the policies and procedures of Temple Kol Tikvah Religious School for the academic year 2020-2021.

Parent Signature

Typing your name acts as your digital signature

*E-mail

*First Name

*Last Name

Account

Online Fee:

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: