Our Tent 2019-2020 Trimester 2

Welcome

Welcome

LEARNER INFORMATION

* Describe your family.

Household Address

Household City

* Household Zip Code

LEARNER ENROLLMENT

Learner # 1

Learner #1 First Name

Learner #1 Last Name

Email for Learner # 1

Learner # 1 Phone (Mobile Preferred)

Learner # 1 Date of Birth (12th Grade or below)

mm/dd/yyyy

Learner # 1 Grade (12th Grade or below)

* Session One Learner # 1

* Session Two Learner # 1

Learner # 2

Learner #2 First Name

Learner #2 Last Name

Learner #2 Email

Learner # 2 Phone (Mobile Preferred)

Learner # 2 Date of Birth (12th Grade or below)

mm/dd/yyyy

Learner # 2 Grade (12th Grade or below)

Session One Learner # 2

Session Two Learner # 2

Learner # 3

Learner # 3 First Name

Learner # 3 Last Name

Learner #3 Email

Learner # 3 Phone (Mobile Preferred)

Date of Birth Learner # 3 (12th Grade or below)

mm/dd/yyyy

Learner # 3 Grade (12th Grade or below)

Session One Learner # 3

Session Two Learner # 3

Learner # 4

Learner # 4 First Name

Learner #4 Last Name

Learner # 4 Email

Learner # 4 Phone (Mobile Preferred)

Learner # 4 Date of Birth (12th Grade or below)

mm/dd/yyyy

Learner # 4 Grade (12th Grade or below)

Session One Learner # 4

Session Two Learner # 4

Learner # 5

Learner #5 First Name

Learner #5 Last Name

Learner #5 Email

Learner # 5 Phone (Mobile Preferred)

Learner # 5 Date of Birth (12th Grade or below)

mm/dd/yyyy

Learner # 5 Grade (12th Grade or below)

Session One Learner # 5

Session Two Learner # 5

DONATE TO OUR TENT!

MAKE A DONATION!!! SPONSOR OUR TENT!!!

For $72 you can sponsor a Sunday Breakfast.
For $360 you can sponsor 1 full class for a trimester.
For $72 you can sponsor a single class.
You can also do a Tribute in Honor of a Teacher!

Sunday Breakfast $72Our Tent Class $360Single Class $72

Other

Donate any amount. Enter with no $.

Type any dedication, teacher appreciation or note here.

LEARNER'S TUITION

Non-Member

Child Registration for Our Tent

Adults

Torah Tots (No charge)

ONLINE PAYMENTS
.

Total

Don't forget to click link for Learner medical form after payment if you have not done so before. Your registration is not complete unless the Medical Information form is completed.

https://www.suburbantemple.org/form/our-tent-Learner-medical-information-.html