School Registration Form 2019-2020

Number of Students to be Registered in Religious School*
Parent / Guardian Information
Parent 1 / Guardian Name*
First Last
Home Phone*
Cell Phone*
Work Phone
Parent 1 Email*
Address of Parent 1 / Guardian*
Street Address Address Line 2 City State ZIP Code
Please include information for second Parent / Guardian as appropriate
Parent 2 / Guardian Name
First Last
Home Phone
Cell Phone
Work Phone
Parent 2 Email
Address of Parent 2 / Guardian same as Parent 1 / Guardian?
- Yes
- No
Address of Parent 2 / Guardian
Street Address Address Line 2 City State ZIP Code
Is student's family a member of Congregation Torat El?*
- Yes, CTE Member
- No, Non-member

Student 1 Information
Student Name*
First Last
Hebrew Name
Student Date of Birth*
MM slash DD slash YYYY
Grade in Secular School in Sept 2019 (Member)*
Grade in Secular School in Sept 2019*
CTE Membership is required to register a student in grades 3 - 7.
Hidden
USY Membership - Student 1
Check box to include USY Membership for your student ($72,00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
- USY membership annual dues
Student 1 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 1 address same as Parent 1?*
- Yes
- No
Address of Student 1
Street Address Address Line 2 City State ZIP Code
Has Student previously attended religous school?*
- Yes
- No
Allergies
Please indicate all food and medication allergies
Medical Conditions
Social, Emotional or Behavioral Challenges

Student 2 Information
Student 2 Name*
First Last
Hebrew Name (Student 2)
Student Date of Birth (Student 2)*
MM slash DD slash YYYY
Student 2 Grade in Secular School in Sept 2019 (Member)*
Student 2 Grade in Secular School in Sept 2019*
CTE Membership is required to register a student in grades 3 - 7.
Hidden
USY Membership - Student 2
Check box to include USY Membership for your student ($72.00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
- USY membership annual dues
Student 2 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 2 address same as Parent 1?
- Yes
- No
Address of Student 2
Street Address Address Line 2 City State ZIP Code
Has Student 2 previously attended religous school?*
- Yes
- No
Allergies - Student 2
Please indicate all food and medication allergies
Medical Conditions - Student 2
Social, Emotional or Behavioral Challenges - Student 2

Student 3 Information
Student 3 Name*
First Last
Hebrew Name (Student 3)
Student Date of Birth (Student 3)*
MM slash DD slash YYYY
Student 3 Grade in Secular School in Sept 2019 (Member)*
Student 3 Grade in Secular School in Sept 2019*
CTE Membership is required to register a student in grades 3 - 7.
Hidden
USY Membership - Student 3
Check box to include USY Membership for your student ($72.00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
- USY membership annual dues
Student 3 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 3 address same as Parent 1?
- Yes
- No
Address of Student 3
Street Address Address Line 2 City State ZIP Code
Has Student 3 previously attended religous school?*
- Yes
- No
Allergies - Student 3
Please indicate all food and medication allergies
Medical Conditions - Student 3
Social, Emotional or Behavioral Challenges - Student 3

Student 4 Information
Student 4 Name*
First Last
Hebrew Name (Student 4)
Student Date of Birth (Student 4)*
MM slash DD slash YYYY
Student 4 Grade in Secular School in Sept 2019 (Member)*
Student 4 Grade in Secular School in Sept 2019*
CTE Membership is required to register a student in grades 3 - 7.
Hidden
USY Membership - Student 4
Check box to include USY Membership for your student ($72.00). USY Membership gives discounted rates on all youth group events and membership to NY regional USY events.
- USY membership annual dues
Student 4 Cell Phone
If your student has a cell phone, please include number if OK to be contacted by CTE Religious School.
Is Student 4 address same as Parent 1?
- Yes
- No
Address of Student 4
Street Address Address Line 2 City State ZIP Code
Has $tudent 4 previously attended religous school?*
- Yes
- No
Allergies - Student 4
Please indicate all food and medication allergies
Medical Conditions - Student 4
Social, Emotional or Behavioral Challenges - Student 4

Emergency Contacts
In case of emergency, we will call the following individuals in the order listed (include yourself if we should try and contact you first). Please do not list anyone that is difficult to reach by phone.
Emergency Contact 1*
First Last
Emergency Contact 1 Phone*
Relationship (if not parent)
Emergency Contact 2*
First Last
Emergency Contact 2 Phone*
Relationship (if not parent)
Emergency Contact 3*
First Last
Emergency Contact 3 Phone*
Relationship (if not parent)
List anyone who is NOT permitted to pick up your child from school:
First Last

Photography Consent Form
The purpose of this parental consent form is to obtain consent for your child’s photo image to be shared with Congregation Torat El and the local community. Photographs of students in the Religious School and our youth programs are routinely taken for the purpose of celebrating student achievement and sharing educational programs with the community. Photographs may be posted on the Congregation Torat El website, published in the Temple Bulletin, posted on the Temple Facebook page, and/or submitted to area newspapers. Authorization valid until rescinded in writing.
Congregation Torat El Website and Bulletin*
Permission for the student's photo image to be posted on the Congregation Torat El website and in the Temple bulletin (without name)
- I grant permission
- I do not grant permission
Congregation Torat El Facebook Page*
Permission for this student's photo image to be posted on the Congregation Torat El Facebook Page (without name)
- I grant permission
- I do not grant permission
Local Newspapers*
Permission for this student's photo image to be shared with local newspapers (without name)
- I grant permission
- I do not grant permission

Tuition Student 1
Price:
Tuition Student 2
Price:
Tuition Student 3
Price:
Tuition Student 4
Price:
Tuition Subtotal
Family Maximum Discount
For CTE Members, a Family Maximum of $1500 applies for Registrations completed after June 13th.
Price: $1,500.00
USY Membership - Student 1
Price:
USY Membership - Student 2
Price:
USY Membership - Student 3
Price:
USY Membership - Student 4
Price:
Total Tuition Due
$0.00
Payment Method*
Select your preferred method of payment. You may pay religious school tuition either online using any major credit card (Amex, Mastercard, Visa, Discover) or PayPal, or by sending in a personal check. Registration is not complete until tuition payment is received.
- Pay Online (Major Credit Card, PayPal)
- Check
Payment by Check
Thank you for paying CTE Religious School Tuition by Check. Please mail or deliver your check for the amount shown above to Congregation Torat El, 301 Monmouth Road, Oakhurst, NJ 07755. School Registration is complete once your payment is received.
Payment by Credit Card
Please hit SUBMIT below, and then you will be redirected to a PayPal website to process your online credit card tuition payment for the above amount. Your registration will be complete once the online payment is processed. Thank you.

Parent / Guardian Information