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

Sat, October 25 2025
3 Cheshvan 5786

Today's Calendar

Cooper Lawrence Bar Mitzvah

Preliminary Prayers

: 9:30am

Shabbat Services

: 9:45am

Junior Congregation Service

: 10:30am

Friday Night

Candle Lighting

: 5:37pm

Friday Night Shabbat Services

: 8:00pm

Shabbat Day

Preliminary Prayers

: 9:30am

Shabbat Services

: 9:45am

Upcoming Programs & Events

Oct

Cooper Lawrence Bar Mitzvah
Saturday, Oct 25

Oct

Junior Congregation Service
Shabbat, Oct 25 10:30am

Oct

Religious School
Sunday, Oct 26 9:00am

Oct

Challah Days
Sunday, Oct 26 9:00am

Oct

B'Yachad & Bagels - Modeling Calm: Equipping Moms to Lead their Families with Peace and Purpose
Sunday, Oct 26 9:00am

This week's Torah portion is Parshat Noach

Shabbat, Oct 25

Candle Lighting

Shabbat, Oct 25, 5:45pm

Shabbat Mevarchim

Shabbat, Nov 15

View Calendar

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Sat, October 25 2025 3 Cheshvan 5786