TLC Registration 2021-22
Due Date: REGISTER (and pay) BY FRIDAY, APRIL 30 to avoid additional $50 Fee (per child)
Please make sure to include information for each child you are registering
If you have questions please contact Morah Meyer at educator@btikvah.org

PLEASE NOTE - IF YOUR FAMILY HAD STUDENT(S) ENROLLED IN TLC FOR THE 2020-21 SCHOOL YEAR (AND THERE ARE NO UPDATES TO YOUR CONTACT INFO) YOU ONLY NEED TO COMPLETE REQUIRED SECTIONS.
IF YOU ARE NEW TO TLC, PLEASE COMPLETE ALL APPLICABLE SECTIONS.
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Parent/Guardian 1 Last Name *
Parent/Guardian 1 First Name *
Parent/Guardian 1 Email *
Parent/Guardian 1 Home Phone
Parent/Guardian 1 Cell Phone
Parent/Guardian 1 Address
Parent/Guardian 2 Last Name
Parent/Guardian 2 First Name
Parent/Guardian 2 Email
Parent/Guardian 2 Home Phone (if the same as P/G 1, you may leave blank)
Parent/Guardian 2 Cell Phone
Parent/Guardian 2 Address (if the same as P/G 1, you may leave blank)
How many students are you registering for TLC? *
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