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High School Registration Form

2021-2022 (5782) General Registration Form

PLEASE MAKE SURE TO FILL OUT WHICH RELIGIOUS SCHOOL PROGRAMS YOUR CHILD(REN) IS/ARE ATTENDING.

If you are sending in a check or paying in person, please do not select the registration amount.

All students enrolling in Berman-Lipavsky Religious School programs must complete all criteria in this form. There will be a 3% fee for all credit card charges.

Please click the group name to reveal all parts. Ex. by clicking "Child Name 1,"  all questions about Child 1 will appear, etc.

A $100 fee, per child, is due in the form of online payment. Tuition is $995/Beth El Congregation members; $1,400/non-members. 

So that we may begin preparing for the exciting year ahead, we ask that you return your child’s Achshav application and $100 per student tuition deposit no later than August 30, 2021. 

For more information, please contact Amy Goldberg at amy@bethelbalto.com or Andy Shankman at ashankman@bethelbalto.com, 410-484-4543.

CLICK THE PLUS SIGN TO ADD CHILDREN AND PARENT INFORMATION
CHILD INFORMATION
CLICK THE PLUS SIGN TO ADD ANOTHER CHILD
PARENT INFORMATION
Emergency Contact
Pediatrician
Parent Signature
Parent Signature
I HEREBY AUTHORIZE (BY MY INITIALS PRIOR TO THIS STATEMENT) THAT MY FAMILY IS WILLING TO RECEIVE TEXT MESSAGES FOR UPDATES & REMINDERS FROM THE BERMAN-LIPAVSKY RELIGIOUS SCHOOL AND/OR FROM MY CHILDREN’S TEACHERS.
Sat, July 24 2021 15 Av 5781