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Teen Group Registration 5786


Please fill out this form to register your teen(s) for Teen Group. You can enter all teens (8th-12th grade) on the same form. Teen Group will begin on Sunday, September 7th, 2025. The base cost for the 2025-26 school year is:

These amounts will be prorated for the time remaining in the school year.

Once you have finished entering all information, click the "Enroll" button to go to the payment page.

For any questions, reach out to Rabbi Ye'ela Rosenfeld here.

TBI Members: Please Log In to Register at the Member Rate!

Family Information

Parent 1:

(If available, English or Hebrew characters acceptable)
(If available, English or Hebrew characters acceptable)
(If available, English or Hebrew characters acceptable)

Parent 2:

(If available, English or Hebrew characters acceptable)
(If available, English or Hebrew characters acceptable)
(If available, English or Hebrew characters acceptable)
(If different from parent 1)
(If different from parent 1)
(If different from parent 1)
(If different from parent 1)
(If different from parent 1)
(If different from parent 1)

School and Medical Information:

(If all children attend the same school)
If any child has a different physician, please enter their information in that child's section below.
If any child has a different insurance plan, please enter their information in that child's section below.

Emergency Contact:

If you cannot be reached in case of an emergency, give the names of the people to be notified and/or to whom the child/children can be released..

(Emergency Contact 1)
(Emergency Contact 1)
(Emergency Contact 1)
(Emergency Contact 2)
(Emergency Contact 2)
(Emergency Contact 2)

Children:

Are you an active TBI member? Login to your account and return to this form to access your $700 discount per teen!


(If available, English or Hebrew characters acceptable)

Temple Beth Israel has a website and participates in other social media. We produce various handbooks, brochures, advertisements, and DVD/videos in which we include pictures of our students, faculty, and staff. If you do NOT want pictures/images/video of your child(ren) to be included in TBILA materials and publications please indicate "Opt Out."

See the Torah School's current safety rules here. You will be notified if these rules change.

TOTAL AMOUNT:

(On the next screen, there will be options to pay immediately, set up monthly payments, or to bill to your account and pay by check. We also have an option to make alternative financial arrangements.)
Mon, August 25 2025 1 Elul 5785