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Registration Form 2021-2022
Step
1
of
8
12%
Number of Students to be Registered in Religious School
*
One Student
Two Students
Three Students
Four Students
Parent / Guardian Information
Parent 1 / Guardian Name
*
First
Last
Home Phone
*
Cell Phone
*
Work Phone
Parent 1 Email
*
Address of Parent 1 / Guardian
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Please include information for second Parent / Guardian as appropriate
Parent 2 / Guardian Name
First
Last
Home Phone
Cell Phone
Work Phone
Parent 2 Email
Address of Parent 2 / Guardian same as Parent 1 / Guardian?
Yes
No
Address of Parent 2 / Guardian
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Is student's family a member of Congregation Torat El?
*
Yes, CTE Member
No, Non-member
Student 1 Information
Student Name
*
First
Last
Hebrew Name
Student Date of Birth
*
MM slash DD slash YYYY
Grade in Secular School in Sept 2021 (Member)
*
Pre-K (ages 3-4)
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Grade in Secular School in Sept 2021
*
CTE Membership is required to register a student in grades 3 - 7.
Pre-K (ages 3-4)
Kindergarten
1
2
8
9
10
11
12
Hidden
USY Membership - Student 1
Check box to include USY Membership for your student ($72.00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
USY membership annual dues
Student 1 Email
Student 1 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 1 address same as Parent 1?
*
Yes
No
Address of Student 1
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Has Student previously attended religous school?
*
Yes
No
Allergies
Please indicate all food and medication allergies
Medical Conditions
Social, Emotional or Behavioral Challenges
Student 2 Information
Student 2 Name
*
First
Last
Hebrew Name (Student 2)
Student Date of Birth (Student 2)
*
MM slash DD slash YYYY
Student 2 Grade in Secular School in Sept 2021 (Member)
*
Pre-K (ages 3-4)
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Student 2 Grade in Secular School in Sept 2021
*
CTE Membership is required to register a student in grades 3 - 7.
Pre-K (ages 3-4)
Kindergarten
1
2
8
9
10
11
12
Hidden
USY Membership - Student 2
Check box to include USY Membership for your student ($72.00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
USY membership annual dues
Student 2 Email
Student 2 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 2 address same as Parent 1?
Yes
No
Address of Student 2
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Has Student 2 previously attended religous school?
*
Yes
No
Allergies - Student 2
Please indicate all food and medication allergies
Medical Conditions - Student 2
Social, Emotional or Behavioral Challenges - Student 2
Student 3 Information
Student 3 Name
*
First
Last
Hebrew Name (Student 3)
Student Date of Birth (Student 3)
*
MM slash DD slash YYYY
Student 3 Grade in Secular School in Sept 2021 (Member)
*
Pre-K (ages 3-4)
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Student 3 Grade in Secular School in Sept 2021
*
CTE Membership is required to register a student in grades 3 - 7.
Pre-K (ages 3-4)
Kindergarten
1
2
8
9
10
11
12
Hidden
USY Membership - Student 3
Check box to include USY Membership for your student ($72.00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
USY membership annual dues
Student 3 Email
Student 3 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 3 address same as Parent 1?
Yes
No
Address of Student 3
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Has Student 3 previously attended religous school?
*
Yes
No
Allergies - Student 3
Please indicate all food and medication allergies
Medical Conditions - Student 3
Social, Emotional or Behavioral Challenges - Student 3
Student 4 Information
Student 4 Name
*
First
Last
Hebrew Name (Student 4)
Student Date of Birth (Student 4)
*
MM slash DD slash YYYY
Student 4 Grade in Secular School in Sept 2021 (Member)
*
Pre-K (ages 3-4)
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Student 4 Grade in Secular School in Sept 2021
*
CTE Membership is required to register a student in grades 3 - 7.
Pre-K (ages 3-4)
Kindergarten
1
2
8
9
10
11
12
Hidden
USY Membership - Student 4
Check box to include USY Membership for your student ($72.00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
USY membership annual dues
Student 4 Email
Student 4 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 4 address same as Parent 1?
Yes
No
Address of Student 4
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Has Student 4 previously attended religous school?
*
Yes
No
Allergies - Student 4
Please indicate all food and medication allergies
Medical Conditions - Student 4
Social, Emotional or Behavioral Challenges - Student 4
Emergency Contacts
In case of emergency, we will call the following individuals in the order listed (include yourself if we should try and contact you first). Please do not list anyone that is difficult to reach by phone.
Emergency Contact 1
*
First
Last
Emergency Contact 1 Phone
*
Relationship (if not parent)
Emergency Contact 2
*
First
Last
Emergency Contact 2 Phone
*
Relationship (if not parent)
Emergency Contact 3
*
First
Last
Emergency Contact 3 Phone
*
Relationship (if not parent)
List anyone who is NOT permitted to pick up your child from school:
First
Last
Photography & Video Consent Form
The purpose of this parental consent form is to obtain consent for your child’s photo image / livestream / video to be shared with Congregation Torat El and the local community. Photographs of students and livestream / video in the Religious School and our youth programs are routinely taken for the purpose of celebrating student achievement and sharing educational programs with the community. Photographs / livestream / video may be posted on the Congregation Torat El website, published in the Temple Bulletin, posted on the Temple Facebook / Instagram page, and/or submitted to area newspapers. The Student's Name will not be posted online. Authorization valid until rescinded in writing.
Congregation Torat El Website and Bulletin
*
Permission for the student's photo image / livestream / video to be posted on the Congregation Torat El website and in the Temple bulletin (without name)
I grant permission
I do not grant permission
Congregation Torat El Social Media Page
*
Permission for this student's photo image / video to be posted on the Congregation Torat El Social Media (i.e. Facebook, Instagram) Page (without student's name)
I grant permission
I do not grant permission
Local Newspapers
*
Permission for this student's photo image to be shared with local newspapers (without name)
I grant permission
I do not grant permission
Tuition Student 1
Price:
Tuition Student 2
Price:
Tuition Student 3
Price:
Tuition Student 4
Price:
Tuition Subtotal
Family Maximum Discount
For CTE Members, a Family Maximum of $1500 applies for Registrations completed after June 13th.
Price:
$1,500.00
USY Membership - Student 1
Price:
USY Membership - Student 2
Price:
USY Membership - Student 3
Price:
USY Membership - Student 4
Price:
Total Tuition Due
$0.00
Payment Method
*
Select your preferred method of payment. You may pay religious school tuition either online using any major credit card (Amex, Mastercard, Visa, Discover) or PayPal, or by sending in a personal check. Registration is not complete until tuition payment is received.
Pay Online (Major Credit Card, PayPal)
Check
Payment by Check
Thank you for paying CTE Religious School Tuition by Check. Please mail or deliver your check for the amount shown above to Congregation Torat El, 301 Monmouth Road, Oakhurst, NJ 07755. School Registration is complete once your payment is received.
Payment by Credit Card
Please hit SUBMIT below, and then you will be redirected to a PayPal website to process your online credit card tuition payment for the above amount. Your registration will be complete once the online payment is processed. Thank you.
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