SHMA@cbirumson: Soul Heart Mind Academy



Grade Tuition Registration Fee Materials Fee Total
Pre-K (once a month) Free Waived None Free
K-1 Members or Gan Alumni Free Waived $85 $85
K-1 Non-members $710 $200 $85 $995
2-7 (Membership Req'd) $725 $200 $85 $1010
8-12 Members $255 $200 $180* $635
8-12 Non-members $710 $200 $180* $1090

*covers additional expenses for Hebrew HS activities.

Instructions:

Please choose EITHER OPTION 1 or OPTION 2.

OPTION 1
Full Payment
**INCLUDES registration/materials fee:
Qty
Description
Amount
Total

$0.00
---

$85.00
---

$995.00
---

$1,010.00
---

$635.00
---

$1,090.00
---
-OR-
Option 2
Registration/Materials Fees By Grade
** Please note you will be billed for remainder of fee, if any. To arrange installment payments for remainder, please contact Alice MacPhee, CBI Bookkeeper, at 732-842-1800 x211 or bookkeeper@cbirumson.org.
Qty
Description
Amount
Total

$285.00
---

$285.00
---

$380.00
---

$380.00
---
Child(ren) Information
Waivers
Activities Waiver
I hereby give permission for my child/children to participate in all activities sponsored by Congregation B’nai Israel Religious School, including all announced trips. In case of an emergency, I realize that Congregation B’nai Israel Religious School will make every effort to contact my designate or me. In the event that no one can be reached, I authorize CBI to seek medical assistance for my child with an appropriate physician.
Photo Waiver
I hereby give permission for my child/children to be photographed in the course of activities at Congregation B’nai Israel Religious School with the understanding that these photographs may be used for promotional and advertising purposes.
Family Information
Who transports your child to and from CBI?
In Case Of Emergency
(when we are unable to reach parents at above numbers)
Payer Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
Your Payment Information

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