Religious School Deposit 2020-2021 - Form - Woodbury Jewish Center

Sign In Forgot Password

Powered By ShulCloud

Login

Calendar
ways to give
High Holy Days 5782

About Us
Membership
- Community
- Kehila
- Chesed
- Sage Seniors
- Shelanu
Services
- Request a Mi Sheberach
Education
Lifecycles
Contributions
- Kol Nidre 5781
Catering Events

Calendar
ways to give
High Holy Days 5782

Religious School Deposit 2020-2021

First Name of Parent Filling Out Form

Last Name of Parent Filling Out Form

Email

* Number of Children Registering

* Address

* City

* Zip

Child #1 Registration

* Deposit For:

* Name of Child, First and Last

* DOB

* Grade your child will be in Sep. 2020

* Name of Public/Private Day School your child will be in Sep. 2020

* Emergency Contact Name

* Relationship to Child

* Emergency Contact Phone #

* Alternate Phone Number for Emergency Contact

* List all known allergies: Enter NONE if no known allergies

* Does your child have an IEP or 504? If no enter NONE.

* Does your child has any visual, auditory or other issues of which we should be aware? Enter NONE if there aren't any.

* I agree to have my child's photograph used on the WJC website

YesNo

* Does your child have any physical or psycho/social issues?

YesNo

* I would like my family's information included on the WJC Religious School directory

YesNo

* I agree to provide WJC with any changes of address or phone number during the school year

YesNo

Child #2 Registration

* Deposit For:

* Name of Child, First and Last

* Date of Birth

* Grade your child will be in Sep. 2020

* Name of Public/Private Day School your child will be in Sep. 2020

* Emergency Contact Name

* Relationship to Child

* Emergency Contact Phone #

Alternate Phone Emergency Contact

* List all known allergies: Enter NONE if no known allergies

* Does your child have an IEP or 504? If none enter NONE

* Does your child has any visual, auditory or other issues of which we should be aware? Enter NONE if there aren't any.

* I agree to have my child's photograph used on the WJC website

YesNo

* Does your child have any physical or psycho/social issues?

YesNo

* I would like my family's information included on the WJC Religious School directory

YesNo

* I agree to provide WJC with any changes of address or phone number during the school year

YesNo

Child #3 Registration

* Deposit For:

* Name of Child, First and Last

* Date of Birth

* Grade your child will be in Sep. 2020

* Name of Public/Private Day School your child will be in Sep. 2020

* Emergency Contact Name

* Relationship to Child

* Emergency Contact #

* Alternate Emergency Contact Phone

* List all known allergies: Enter NONE if no known allergies

* Does your child have an IEP or 504 if no enter NONE

* Does your child has any visual, auditory or other issues of which we should be aware? Enter NONE if there aren't any.

Child #4 Registration

* Early Bird Deposit For:

* Name of Child, First and Last

* Date of Birth

* Grade your child will be in Sep. 2020

* Name of Public/Private Day School your child will be in Sep. 2020

* Emergency Contact Name

* Relationship to Child

* Emergency Contact Phone#

* Alternate Phone Number Emergency Contact

* List all known allergies: Enter NONE if no known allergies

* Does your child have an IEP or 504? If no enter NONE

* Does your child has any visual, auditory or other issues of which we should be aware? If NO enter NONE

Total

Mon, August 2 2021 24 Av 5781

200 South Woods Road

Woodbury, NY 11797

(516) 496-9100

info@woodburyjc.org

Woodbury Jewish Center is proudly affiliated with the United Synagogue of Conservative Judaism

Privacy Policy | Member Terms

©2021 All rights reserved. Find out more about ShulCloud