Religious School 2021-2022 Primary Registration Form

* Child's First Name:

* Child's Last Name:

Hebrew Name:

* Address:

* City:

* Zip:

* Gender:

* Age:

* Date of Birth:

* Public/Private School Attending:

* Grade Entering September 2021:

* Religious School Grade Enrolling:

* Parent's Marital Status:

* Primary email used for communication:

Secondary email (optional):

* Parent/Guardian 1 First Name:

* Parent/Guardian 1 Last Name:

Parent/Guardian 1 Hebrew Name:

Parent/Guardian 1 Home Phone Number:

Parent/Guardian 1 Work Phone Number:

* Parent/Guardian 1 Mobile Phone Number:

Parent/Guardian 2 First Name:

Parent/Guardian 2 Last Name:

Parent/Guardian 2 Hebrew Name:

Parent/Guardian 2 Home Phone Number:

Parent/Guardian 2 Work Phone Number:

Parent/Guardian 2 Mobile Phone Number:

Sibling Name (not yet enrolled in Religious School):

Sibling Birth Date:

Sibling Name (not yet enrolled in Religious School):

Sibling Birth Date:

Are there any custody arrangements that we need to be aware of?

* Payment Amount ($500 full payment for PBJC Members, $600 full payment for Non-Members):

2021-2022 Primary Tuition Payment

Thu, July 3 2025
7 Tammuz 5785

Friday Night

Friday Night Family Shabbat Services

: 7:00pm

Candle Lighting

: 8:15pm

Shabbat Day

Preliminary Prayers

: 9:30am

Shabbat Services

: 9:45am

Upcoming Programs & Events

Jul

Deadline to Order Challah for July
Monday, Jul 7

Jul

Monthly Deadline to Order Challah
Monday, Jul 7 11:00pm

Jul

Chevra Board Meeting
Wednesday, Jul 9 8:00pm

Jul

Shabbat Dinner Order Pick-Up
Friday, Jul 11 12:00pm

Jul

Shabbat Dinner Order Pick-Up
Friday, Jul 25 12:00pm

This week's Torah portion is Parshat Chukat

Shabbat, Jul 5

Candle Lighting

Friday, Jul 4, 8:15pm

Fast of Tammuz

Sunday, Jul 13

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Thu, July 3 2025 7 Tammuz 5785