Religious School 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

Sun, August 1 2021
23 Av 5781

Friday Night

Friday Night Family Dinner in Honor of Arlene Lopez

: 6:30pm

Candle Lighting

: 7:50pm

Friday Night Shabbat Services

: 8:00pm

Shabbat Day

Preliminary Prayers

: 9:30am

Shabbat Services

: 9:45am

Upcoming Programs & Events

Aug

Chevra Board Meeting
Wednesday, Aug 4 8:00pm

Aug

Friday Night Family Dinner in Honor of Arlene Lopez
Friday, Aug 6 6:30pm

Aug

PBJC Golf and Tennis Classic
Monday, Aug 9

Aug

High Holy Day Set-Up
Sunday, Aug 29 9:00am

Aug

Religious School Faculty Meeting
Tuesday, Aug 31 4:30pm

This week's Torah portion is Parshat Re'eh

Candle Lighting

Friday, Aug 6, 7:50pm

Shabbat Mevarchim

Shabbat, Aug 7

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Sun, August 1 2021 23 Av 5781