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Kesher Beth El New Student and K'tanim Registration: 2023-2024
THIS FORM IS FOR STUDENTS WHO ARE NEW TO THE SCHOOL AND THOSE WHO DID NOT ATTEND AT TEMPLE BETH EL IN 2022-2023. Returning students from Kindergarten through 6th grades will be registered automatically in 1st through 7th grades for the 2023-2024 school year. Returning and new students from Congregation Beth El, please register using this form. To register your student for the TBE 2023-2024 school year, please fill out this form. You will need to fill out the form separately for each child. If you have any questions, please contact Lisa GIttelman-Udi by phone at 860-830-9942 (cell #) or email eddir@tbe.org.Thank you!
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade
*
Student's grade in the 2023-2024 school year:
K'tanim (age 3-4)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
Required
Gender
If you choose to indicate a gender for your child, please check below.
Female
Male
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Student Hebrew Name if there is one
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
School
*
What school will your child attend during the week?
Your answer
Student Home Address
*
Street Name and #, City, State, Zip Code
Your answer
Home Phone #
Student Home Phone #
Your answer
Parent/Guardian # 1 Last Name
*
Your answer
First Name
*
Parent/Guardian # 1 First Name
Your answer
Parent/Guardian # 1 Email
Parent/Guardian # 1 email address
Your answer
Parent/Guardian # 1 Address if different from Student Address
Street Name, #, City, State, Zip Code - if same as student just write "same."
Your answer
Home Phone #
Parent Guardian Home Phone # if different from Student's Home Phone #
Your answer
Work #
Parent/Guardian # 1 work phone #
Your answer
Cell #
Parent/Guardian # 1 cell phone #
Your answer
Parent/Guardian # 2 Last Name
Parent/Guardian # 2 Last Name
Your answer
Parent/Guardian # 2 First Name
Parent/Guardian # 2 First Name
Your answer
Parent/Guardian # 2 Address if Different from Student's Address
Street Name, #, City, State, Zip Code - if same as student just write "same."
Your answer
Home #
Parent/Guardian # 2 home phone # if different from Student's Home Phone #
Your answer
Work #
Parent/Guardian # 2 work phone #
Your answer
Cell #
Parent/Guardian # 2 cell phone #
Your answer
Email
Parent/Guardian # 2 email
Your answer
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