JK to Grade 2                    Grade 3 to Grade 7
Sunday morning               Sunday morning & Thursday evening
Early Bird $600                 Early Bird $1600
Regular $700                     Regular $1700

Register by June 24, 2022 to be eligible for the Early Bird Pricing.

Parent / Guardian 1 Information

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Parent / Guardian 2 Information

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Emergency Contacts

Parent / Guardian 1 & 2 will be contacted in the case of emergency.  In the case that both are unavailable, Contact #1 and #2 will be reached, in that order

Emergency Contact 1

Emergency Contact 2

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Student Information

ADDITIONAL CHILDREN

If you have children you would like to register, please press the {+} button to enter their information. 

Family Information

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Child Participation Consent

Beit Rayim Synagogue and School (BR) and its representatives take great effort and precautions to assure the safety and welfare of your child. In the event of a health-related incident we will contact you immediately at the phone numbers you provide below.

The undersigned understands, agrees, represents and warrants to BR that:

1. I am the parent or legal guardian of the child/children listed below.
2. BR, its directors, officers, employees and volunteers shall not be responsible for any and all claims for damages arising as a result of any accident, injury or otherwise sustained by the child/children arising from participation in any BR activities.   
3. I permit my child/children to participate in each BR activity(s) that she/he/they attend(s). 
4. BR officials may act on my behalf in case of emergency.  
5. Any special medical issues, allergies, special needs or other concerns that BR ought to be aware of are listed in the above registration form.

COVID-19 Assumption of Risk, Waiver and Conduct

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