Beit Sefer Chadash Renewal Form 2023-24 / 5784 ~ Returning Family Registration - Form

Thank you for continuing your child(ren)'s Jewish education here at Am Tikvah!

Congregation Am Tikvah Beit Sefer Chadash "The New School"
Sunday & Hebrew School on the South Side of San Francisco
Enrollment Form Instructions:

As a returning family, you are already in our database. Please FIRST FIND YOUR RECORD by typing your name into the field above the SHALOM image. This form will automatically populate some of your information. This form assumes there are no changes to the students. If you are adding a new student, you must complete the Beit Sefer Chadash Enrollment form for that student.

Next, please fill out all applicable sections of this enrollment form, for up to three children.

Parent/guardian #1

First Name

Last Name

Email Address

Mobile Phone Number

Are there any changes to your contact info?

Address

City

State

Zip Code

Are there any changes to the Second Parent/Guardian's contact info?

Parent/Guardian #2

Address

City

State

Zip

Mobile Phone Number

Emergency Contact Info

Are there changes to your Emergency Contact info?

Emergency Contact Name

Relationship to Student

Mobile Number

How many children are returning students?

Student #1

Student Full Name

Grade Level

Are there any new medical conditions, learning differences, or new medications that could affect their religious school experience or any concerns or insights that would help us provide a positive learning environment?

Student #2

Student Full Name

Grade Level

Student #3

Student Full Name

Grade Level

Medical Emergency Contact Info

Has there been any changes to your family medical provider?

Doctor's Name

Doctor's Phone Number

Insurance Company

Policy ID Number

Group Number

Tuition and Fees

Please choose your preferred payment option below. Tuition for the first student is $725 and $580 for each additional student (20% sibling discount). If you choose to pay in installments, you can set up your payments on the next page. You must pay in full by May 31, 2024.

* Payment Options - 1 Student

Please Select OnePay in Full - $725Pay in InstallmentsSpecial Financial Arrangement

On the next screen, please choose to pay 9 monthly payments of $80.56, starting in Sept or 3 payments of $241.67 every 3 months in Sept, Dec, Mar.

* Payment Options - 2 Students

Please Select OnePay in Full - $1,305Pay in InstallmentsSpecial Financial Arrangement

On the next screen, please choose to pay 9 monthly payments of $145, starting in Sept or 3 payments of $435 every 3 months in Sept, Dec, and Mar.

* Payment Options - 3 Students

Please Select OnePay in Full - $1,885Pay in InstallmentsSpecial Financial Arrangement

On the next screen, please choose to pay 9 monthly payments of $209.44, starting Sept or 3 payments of $628.33 every 3 months in Sept, Dec, and Mar.

Please briefly describe your financial constraints (no tax returns are required).

Am Tikvah Sisterhood has generously approved partial scholarships for dues-paying member families!

Please choose the "Special Financial Arrangement" option to choose a financial arrangement that is different from paying the full cost per child. By choosing this option, you will not be charged through this form. Instead, you will be asked to enter a short written explanation of your financial situation (no tax forms necessary). Then, the office will contact you about a special financial arrangement. The information you write will not be seen by anyone other than office staff.

Thank you! We look forward to spending time together in the coming year, 5784!