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Waxman Youth House Registration - TBE

 

This form is for Temple Beth-El Families, only.

TIGN families should register using the "School Enrollment" feature on ShulCloud. If your family is a member of neither congregation, there is a different form. Click here for more about registration

Please contact the office if you have any questions. 


Parent/Guardian 1


Parent/Guardian 2 



Student Information 

I give Temple Israel permission to use photos of my child(ren) in its publicity such as in The Voice, on the TIGN website, in local newspapers, etc.

Student 1


Student 2


Student 3


Does he/she have an IEP or special arrangements in Public School?
Does this child have any allergies, medications, or food restrictions we should be aware of?

Emergency

In the event that we cannot contact a parent/guardian, we need an emergency contact. Do NOT enter a parent's information in this section.

Donation

The Waxman Youth House Scholarship Fund helps families in need who might not otherwise be able to afford a Youth House education for their children. Any amount is helpful.

Thank you so much for completing Waxman Youth House registration for your family! We look forward to a wonderful year!
Fri, June 21 2024 15 Sivan 5784