Congregation Kahal B'raira

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

2020 - 2021 Registration for KB Membership,

Sunday School and Youth Group

Thank you for choosing to be a member of Kahal B'raira, Congregation for Humanistic Judaism. Members are our most important resource.

To pay in recurring fees (installment payments), do not use this form. Instead, Click here

If you wish to pay by paper check, Click here for full directions. To complete your registration by this method, you will be asked to mail a check and fill out an online registration form.

Kahal B'raira is a 501(c)(3) organization and donations are deductible to the extent permitted by law which generally includes membership but not tuition.

All fees remain at last year's price. Please, consider an additional donation to cover the fees we pay for e-check (2.0%) or credit card payments (2.5%). This ensures that all of your payment goes to KB programs and school. To do this, enter an amount in the donation box below and any additional donation you wish to make.

If you need a reduced fee, make a request, in complete confidence, to Sam Feldman, KB treasurer, at semyon.feldman@gmail.com and cc our managing director, Gladys Maged at gladysmaged@gmail.com.

Membership Dues

Family Membership

$1,590.00

Individual Membership

$930.00

Introductory for Under 35

$260.00

To see if you qualify for this Introductory for under 35 membership, Click here

None Of The Above

None

Yes, I will make an additional donation to cover e-check and credit card use in the Additional Donation section below.

Sunday School Tuition

Qty

Description

Amount

Total

Pre-K - Grade 10 Registration 1st Child

$890.00

---

Pre-K - Grade 10 Registration Additional Child(ren)

$840.00

---

Youth Group Registration 1st Child

$365.00

---

Youth Group Registration Additional Child(ren)

$315.00

---

Yes, I will make an additional donation to cover e-check and credit card use in Additional Donation section below.

Additional Donation

Donation Amount

Please consider an additional donation of 2.0% for e-check use or 2.5% for credit card use to ensure that the full amount of your fees support KB programs and school and so that we can continue to welcome all who wish to participate.

Total: $0.00

Family Information
Adult 1

First Name: *

Last Name: *

Street Address: *

Address 2:

City: *

State: *

Zip Code: *

Phone Number: *

Cell Phone: *

E-mail Address: *

Birthday:

(optional)

Adult 2

First Name:

Last Name:

Street Address:

Address 2:

City:

State:

Zip Code:

Phone Number:

Cell Phone:

E-mail Address:

Birthday:

(optional)

If you are enrolling a child in Sunday school, pre-k to 9th grade or Youth Group, please answer the questions below for each child. If not, skip these questions.

Child #1 Name:

Date of Birth:

Day School:

Day School Grade:

Grade at KB:

Siblings:

(name and grade in KB if applicable)

Preferred Email:

To receive KB school communication (for example, only mom’s email; both parents emails).

Preferred Email:

Emergency Contact:

(other than parent(s)

Who should we call first in an emergency and who should we call second (name and #)?

Contact #1:

Phone:

Contact #2:

Phone:

Allergies/Health Information:

Information for KB teacher:

(Include learning needs, IEP’s, speech, hearing issues, social needs)

Photograph Release

I hereby authorize and give consent to Kahal B’raira to use photographs in which my household members appear while participating in Kahal B’raira and KB’s Sunday school and youth programs. Possible uses for photos include the bulletin, website, and promotional materials such as a brochure. Neither children nor adults will be identified by name in photo captions.

Photograph Release: *

Comments or Instructions:

Payer information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *