Welcome to the Beth-El Religious School


Thank you for sending your child to Beth-El’s Religious School. This form is for payments IN FULL. If you need to make arrangements, please call Suzie Koonsman at 817-332-7141. Payment arrangements must be made BEFORE the first day of school, which is September 11, 2022.

YOU MUST BE A MEMBER IN GOOD STANDING OF THE CONGREGATION TO ENROLL YOUR CHILD(REN) IN RELIGIOUS SCHOOL.

Qty
Description
Amount
Total

$325.00
$325.00

$295.00
---

$130.00
---
 

$35.00
$35.00
Per Family
 

---
Total: $360.00
Future Commitment: $0.00
Student Information
  This student is also a:
Hebrew Student
Confirmation Student
 This student is also a:
Hebrew Student
Confirmation Student
 This student is also a:
Hebrew Student
Confirmation Student
This student is also a:
Hebrew Student
Confirmation Student
This student is also a:
Hebrew Student
Confirmation Student
Payer Informaton
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
Parent/Guardian Information (If different from payer)
Emergency Contact Information
Parents will be contacted first in case of an emergency. Please give the names of two other people who can be notified in case you cannot be reached. Please also provide your child’s physician’s name and telephone number.
Please note any medications that your student(s) take or allergies that he/she has
I grant Beth-El Congregation permission to use my family’s or my child’s photograph on its website or in official Beth-El publications without further consideration.
Your Payment Information

VisaMasterCardAmerican ExpressDiscoverJCB

Powered by Acceptiva