Congregation Kahal B'raira

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

2019 - 2020 Registration for KB Membership,

Sunday School, Teen Club and Youth Group

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

We ask for an additional voluntary donation when using e-check (1.9%) or credit card payments (2.5%), to ensure that 100% of your membership fee and tuition payment goes to KB programs and school.

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.

Dues and tuition are our primary source of support. Please consider an additional donation if you are able. If you need a reduced fee, make a request, in complete confidence, to Cathy Cabrera cathycab@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 of 1.9% for e-check use and 2.5% for credit card use in the space below for donations.

Sunday School Tuition

Qty

Description

Amount

Total

Pre-K - Grade 7 Registration 1st Child

$890.00

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Pre-K - Grade 7 Registration Additional Child(ren)

$840.00

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Teen Club Registration 1st Child

$640.00

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Teen Club Registration Additional Child(ren)

$590.00

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Youth Group Registration 1st Child

$365.00

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Youth Group Registration Additional Child(ren)

$315.00

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Yes, I will make an additional donation of 1.9% for e-check use and 2.5% for credit card use in the space below for donations.

Additional Donation

Donation Amount

Please consider an additional donation of 1.9% 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: *