Registration for Toddler – 7th Grade

Please read important information under Tuition & Enrollment before registering. Registration is $50 per child, which will be deducted from your tuition and is non-refundable. Registration will not be processed or early discounts awarded if there are outstanding financial obligations associated with religious school, B'Nai Mitzvah, or youth programs.

Scroll down to complete the registration form. Use the tab key or mouse to move between fields.
When finished, click on SUBMIT.

Parent/Guardian 1 will receive an email confirmation that the registration has been submitted.

Child #1 Information

e.g. Female
e.g. she
e.g. 12/1/1990

Youth Group for grades 5 & 6. Meets monthly. No charge 2018-2019

Does your child have special medical or learning needs? Food allergies?

We want your child to be safe and have the best learning experience possible. Knowing
any special needs will help us make that happen.

Media Consent and Release

Throughout the school year, students may be highlighted in efforts to promote CBHT Religious School activities and achievements. For example, students may be featured in materials to train teachers and/or increase public awareness of our school through newspapers, radio, TV, the web, DVDs, displays, brochures and other types of media, including social media.

As the parent or guardian, I hereby give CBHT and its employees, representatives, and authorized media organizations permission to print, photograph, and record my child for use in audio, video, film, or any other electronic, digital and printed media.

This is with the understanding that neither CBHT nor its representations will reproduce said photograph, interview, or likeness for any commercial value or receive monetary gain for use of any reproduction/broadcast of said photograph or likeness. I am also fully aware that I will not receive monetary compensation for my child’s participation.

I further release and relieve CBHT, its Board of Trustees, employees and other representatives from any liabilities, known or unknown, arising out of the use of this material.

Emergency Medical Release

I hereby give my consent for Congregation Beth HaTephila staff to make available to my child
professional emergency medical care if such care is indicated. It is my understanding that a
conscientious effort will be made to contact me before such action is taken. It is further
understood that in the event that this is not possible, I give my permission for my child to
receive proper medical care by any doctor, nurse, paramedic or member of a medical staff of
a hospital licensed in the State of North Carolina.

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