Our Tent Registration 2020-2021 (SEMESTER ONE) - Form - Suburban Temple

IF YOU ARE A MEMBER, PLEASE LOGIN.

This will insure proper credit to your account. Login at the top right corner. If you are accessing this form through your phone, click the 3 line menu at the top right corner.

UNDER EACH SECTION WHERE CLASS SELECTIONS ARE MADE, THERE IS A BOX TO SELECT IN-PERSON OR ZOOM PARTICIPATION OPTIONS.

PLEASE SELECT ONE OF THESE OPTIONS TO COMPLETE YOUR REGISTRATION.
THANK YOU!

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

ZOOMIN-PERSONYOU MUST SELECT ONE OPTION TO REGISTER

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

ZOOMIN-PERSONYOU MUST SELECT ONE OPTION TO REGISTER

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

ZOOMIN-PERSONYOU MUST SELECT ONE OPTION TO REGISTER

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

ZOOMIN-PERSONYOU MUST SELECT ONE OPTION TO REGISTER

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

ZOOMIN-PERSONYOU MUST SELECT ONE OPTION TO REGISTER

LEARNER'S MEDICAL AND CONFIDENTIAL INFORMATION FORM

ALL (including adults) learners must complete this form.

** CLICK HERE FOR MANDATORY MEDICAL/CONFIDENTIAL FORM **

COME BACK TO CLICK ON THE LINK ABOVE AFTER YOU COMPLETE ENROLLMENT.

DONATE TO OUR TENT!

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

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

Our 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 ($250 - OPENS AUG 17)

Child Registration for Our Tent 2020 2021 ($400 - Per Child Early Bird until Aug 17)

Member Adults (No Charge)

Torah Tots (No charge)

ONLINE PAYMENTS
Tuition covers all 3 Trimesters.

Total

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

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