Religious School 2025-2026 PBJC Teens Registration Form

* Student's First Name:

* Student's Last Name:

* Address:

* City:

* Zip:

* Date of Birth:

* Public/Private School Attending:

* PBJC Teens Grade Enrolling:

* Student's Email:

* Student's Mobile #:

* Parent's Marital Status:

* Parent/Guardian 1 First Name:

* Parent/Guardian 1 Last Name:

* Parent/Guardian 1 Email:

Parent/Guardian 1 Home Phone Number:

* Parent/Guardian 1 Mobile Phone Number:

Parent/Guardian 2 First Name:

Parent/Guardian 2 Last Name:

Parent/Guardian 2 Email:

Parent/Guardian 2 Home Phone Number:

Parent/Guardian 2 Mobile Phone Number:

Does the student have any allergies or special dietary requirements? Is there any other information you would like to share about the student?

* Please select one:

2025-2026 PCBJ Teens Payment
*Fee includes tuition, all dinners, and materials.

Wed, August 20 2025
26 Av 5785

Friday Night

Candle Lighting

: 7:28pm

Friday Night Shabbat Services

: 8:00pm

Shabbat Day

Preliminary Prayers

: 9:30am

Shabbat Services

: 9:45am

Upcoming Programs & Events

Aug

Shabbat Dinner Order Pick-Up
Friday, Aug 22 12:00am

Sep

Deadline to Order Challah for September
Monday, Sep 1

Sep

ECC Staff In-Service
Tuesday, Sep 2

Sep

RS Staff Meeting & Dinner
Tuesday, Sep 2 4:00pm

Sep

ECC Meet The Teachers
Wednesday, Sep 3 9:00am

This week's Torah portion is Parshat Re'eh

Candle Lighting

Friday, Aug 22, 7:28pm

Shabbat Mevarchim

Shabbat, Aug 23

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Wed, August 20 2025 26 Av 5785