2020-2021 Shir Shalom Religious School Registration

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Welcome to you and your child(ren) for the 2021-2022 year of the Temple Shir Shalom
Religious School.

Complete this form with your tuition check payable to Temple Shir Shalom for $500.00
(check) or $510.00 (credit card) per student. You must be a member of Temple Shir
Shalom in good standing to enroll your child(ren).
*Tuition payment plans and/or tuition assistance is available on a confidential basis. Please contact
the Temple office, office@shirshalom.net, if you would like to make alternate financial arrangements.

Please fill out each area below, one form for each student attending.

Student First Name *

Student Last Name *

Student Grade Level in Secular School 2021-2022 *

Parent/Caregiver First & Last Name *

Parent/Caregiver Contact Email *

Parent/Caregiver Contact Phone (important for setting up weekly check-ins) *

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