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Beit Sefer Phyllis Mintzer 2022-2023 School Year Registration

Student 1

Student 2

Student 3

Parent 1

Parent 2

Parent 3

Medical and Emergency Information

Emergency Information
Person other than parent to contact in case of emergency (mandatory to list at least one, two is better!)
Medical Information
Does your child have life threatening allergies or other important medical information you would like us to be aware of?

Medical Consent
Field Trip Permission
Photograph Consent
Enrollment Agreement

Payment
BSPM Tuition for Shabbat School Year 2022-2023 (Grades K-7)
$1,005.00 Per Student

Hebrew Tutoring for School Year 2022-2023 (Grades 5 & 6 ONLY)
$310.00 Per Student

B'mitzvah Fee (Grade 7 ONLY)
$515.00 Per Student

If you wish to pay in installments, you will be prompted to choose the frequency of payments after clicking "Submit"

Please list the quantity (number of children) you wish to enroll for each program, below. 
   Shabbat School for 2022-2023 (Grades K-7)
   Hebrew Tutoring for 2022-2023 (Grades 5 & 6 only)
   B' Mitzvah Fee (Grade 7 only)
   Scholarship
If you require a scholarship, please select the scholarship option only.
A scholarship form will be sent to you; you will be billed after the scholarship is awarded.
Sun, August 14 2022 17 Av 5782