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Beit Sefer Chadash Enrollment 2023-24 / 5784 ~ New Family Registration

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


You do not need to be a member of Am Tikvah to enroll your child for their *first* year of Beit Sefer Chadash. Your family receives free synagogue membership for your *first* year as in Beit Sefer Chadash. Come give it a try! We look forward to getting to know your whole family! If you are having difficulty with the form, please contact the Am Tikvah office at 415.586.8833 or office@amtikvah.org.

Enrollment Form Instructions:

If you are a member or 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. Next, please fill out all applicable sections of this enrollment form, for up to three children. 
If you are enrolling more than 3 students, please call the office to register to add the additional students with the sibling discount. Once you complete the form, you will be prompted to create an account in ShulCloud if you do not already have one. This is our synagogue's database, used for processing payments. Your information is secure and confidential. If you are having difficulty with the form, please contact the Am Tikvah office at 415.586.8833 or office@amtikvah.org. 
 

FAMILY INFORMATION


Adult #1

Adult #2

EMERGENCY CONTACT INFORMATION

Student #1
  
  

Student #2

Student #3

SCHOOL INFORMATION

Student #1

Student #2

Student #3

FAMILY MEDICAL EMERGENCY INFORMATION

Student #1

Student #2

Student #3
I hereby give permission for my child(ren) to be taken off Synagogue grounds for the purpose of medical attention in the event that I cannot be contacted in an emergency.  I authorize and designate the Rabbi, Executive Director,  Director of Education, or Youth Programming Director as my representative in the event of a medical emergency concerning my child.

PHOTO RELEASE

Congregation Am Tikvah occasionally uses photographs of Beit Sefer Chadash students taken at events in its publications and on its Website.

   I hereby grant permission to Am Tikvah to use my child(ren)'s image and voice, first name, art, written work, or verbal statements on its website, social media platforms, or in other official printed and online publications without further consideration, and I acknowledge Am Tikvah has right to crop or treat any images at its discretion. I also acknowledge that Am Tikvah may choose not to use my child(ren)'s image at this time, but may do so at its own discretion at a later date. Am Tikvah reserves the right to discontinue use of images without notice. I also understand that once my child(ren)'s image is posted on Am Tikvah's website, the image can be downloaded.

     Therefore, I agree to indemnify and hold harmless from any claims the Am Tikvah Board of Directors and All Employees of Am Tikvah.

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.

On the next screen, please choose to pay 9 monthly payments of $80.56, starting Sept or 3 payments of $241.67 every 3 months (Sept, Dec, Mar).
On the next screen, please choose to pay 9 monthly payments of $145, starting Sept or 3 payments of $435 every 3 months in Sept, Dec, and Mar.
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.
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!

Sun, June 16 2024 10 Sivan 5784