School Enrollment Form

2021 - 2022 Sunday School and Youth Group Enrollment

Thank you for choosing Kahal B'raira's Sunday School! We ask that families become members of KB before enrolling in Sunday school. Curious about membership? Please email Phil Katz at katzunion@gmail.com.

Kahal B'raira values inclusivity for all community members, regardless of means. If you need a reduced Sunday School fee, please make a request by contacting our treasurer, Lee Feigenbaum, at lee@thefigtrees.net and CC our managing director, Lidia Pruente, at l.pruente@kahalbraira.org. All requests are kept in complete confidence.

* Your First Name

* Your Last Name

* Confirmation Email

Sunday School Students

* How many children are you enrolling in Sunday School (grades K-10) and Youth Group (Grades 11-12)

* Child 1: Name

Child 1: Pronouns

Child 1: Date of Birth

Child 1: Day School

Child 1: Day School Grade

for the 2021-2022 school year

* Child 1: Grade at KB

for the 2021-2022 school year

Child 1: Allergies/Health Information

Child 1: Information for KB Teachers and Staff

(May include learning needs, IEP’s, speech, hearing issues, social needs, or anything else you would like us to know about your household.)

* Child 2: Name

Child 2: Pronouns

Child 2: Date of Birth

Child 2: Day School

Child 2: Day School Grade

for the 2021-2022 school year

* Child 2: Grade at KB

for the 2021-2022 school year

Child 2: Allergies/Health Information

Child 2: Information for KB Teachers and Staff

(May include learning needs, IEP’s, speech, hearing issues, social needs, or anything else you would like us to know about your household.)

* Child 3: Name

Child 3: Pronouns

Child 3: Date of Birth

Child 3: Day School

Child 3: Day School Grade

for the 2021-2022 school year

* Child 3: Grade at KB

for the 2021-2022 school year

Child 3: Allergies/Health Information

Child 3: Information for KB Teachers and Staff

(May include learning needs, IEP’s, speech, hearing issues, social needs, or anything else you would like us to know about your household.)

* Child 4: Name

Child 4: Pronouns

Child 4: Date of Birth

Child 4: Day School

Child 4: Day School Grade

for the 2021-2022 school year

* Child 4: Grade at KB

for the 2021-2022 school year

Child 4: Allergies/Health Information

Child 4: Information for KB Teachers and Staff

(May include learning needs, IEP’s, speech, hearing issues, social needs, or anything else you would like us to know about your household.)

* Child 5: Name

Child 5: Pronouns

Child 5: Date of Birth

Child 5: Day School

Child 5: Day School Grade

for the 2021-2022 school year

* Child 5: Grade at KB

for the 2021-2022 school year

Child 5: Allergies/Health Information

Child 5: Information for KB Teacher and Staff

(May include learning needs, IEP’s, speech, hearing issues, social needs, or anything else you would like us to know about your household.)

Emergency Contacts

Who should we call in an emergency if we are unable to reach you?

* Emergency Contact 1: Name

* Primary Phone

Other Phone Number

* Emergency Contact 2: Name

* Primary Phone

Other Phone Number

Authorized Pickup/Drop-off Contacts

Please list the names and contact information for anyone other than you that you authorize to pickup and drop off your children:

Tuition - Sunday School & Teen Club

First Child: $890
Additional Children: $840

* How would you like to pay tuition?

Please Select OneI will pay by credit cardI will pay be e-check or paper check - please bill my account

* Sunday School: 1st Child - $890

Sunday School: Additional Children - $840

Total

Sat, 20 April 2024