Atid Learning Center 2019-2020
Tikvat Israel's Atid Learning Center in partnership with B'nai Shalom of Olney

Please fill out the form below to register your children for religious school. Note that all fees will be paid to Tikvat Israel Congregation regardless of which campus your student attends.

Fees:
The information below includes the registration fee, tuition and registration in our youth program
Grades K-2 - $1325 (Shabbat or Sunday)
Grades 3-5 - $1685 (Shabbat or Sunday plus one weekday)
Grades 6-7 - $1685 (Shabbat or Sunday plus one weekday)

Visit our website (https://tikvatisrael.org/atid-learning-center/) to learn more about Atid Religious School.

Please be sure to fill out information on each student and the parent information.
Student 1 First Name *
Student 1 Last Name *
Student 1 Date of Birth *
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Student 1 Current Grade *
Student 1 - Elementary School or Middle School Currently Attending
Please choose 1: My child (grade K-5) will participate on which of the following days:
Please choose 1: My child (grade 3-7) will attend a one hour Hebrew session on:
Please choose 1: My child (grade 6-7) will attend a one hour Hebrew session on:
Student 2 First Name
Student 2 Last Name
Student 2 Date of Birth
MM
/
DD
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YYYY
Student 2 Current Grade *
Student 2 - Elementary School or Middle School Currently Attending
Please choose 1: My child (grade K-5) will participate on which of the following days:
Please choose 1: My child (grade 3-7) will attend a one hour Hebrew session on:
Please choose 1: My child (grade 6-7) will attend a one hour Hebrew session on:
Student 3 First Name
Student 3 Last Name
Student 3 Date of Birth
MM
/
DD
/
YYYY
Student 3 Current Grade
Clear selection
Student 3 - Elementary School or Middle School Currently Attending
Please choose 1: My child (grade K-5) will participate on which of the following days:
Please choose 1: My child (grade 3-7) will attend a one hour Hebrew session on:
Please choose 1: My child (grade 6-7) will attend a one hour Hebrew session on:
Parent 1 First Name *
Parent 1 Last Name *
Parent 1 Cell Phone Number *
Parent 1 Email Address *
Parent 1 Street Address *
Parent 1 City *
Parent 1 Zip Code *
Parent 2 First Name
Parent 2 Last Name
Parent 2 Cell Phone Number
Parent 2 Email Address
Parent 2 Street Address (if same as parent 1 write same) *
Parent 2 City
Parent 2 Zip Code
Emergency Contact Name *
Emergency Contact Best Phone Number *
Emergency Contact Email Address *
Medical Insurance Company *
Medical Insurance Policy Number *
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