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Religious School 5785 2024-2025 Registration

Scheck Family Religious School
Wednesday 4:30-6:30pm
Drop off carpool 4:20pm
Pick up carpool 6:30pm

PARENT/GUARDIAN # 1

PARENT/GUARDIAN # 2

Scheck Family Religious School tuition is $500.00 per student with a reduced rate of $450 for additional siblings enrolled in our school.
Payments can be set up on a monthly payment plan or paid in full. Please don't hesitate to contact our accounting office for additional help. Payments will be scheduled to begin at the time of registration. The card in the registration form will be used to set up your payment plan.  A 2.75% credit card fee will apply to all credit card transactions.  If you choose to pay other means of payment, please contact our accounting office.
Provide FULL credit card number - Exp date - sec number

MEDICAL INFORMATION
MEDICAL INFORMATION
MEDICAL INFORMATION

EMERGENCY CONTACT #1

EMERGENCY CONTACT #2
Individuals Who Can Pick Up the student (s)
Individuals Who Can NOT Pick Up the student (s)

MEDICAL RELEASE
I declare that I have provided Beth Torah Adath Yeshurun Inc, DBA  Beth Torah Benny Rok Campus and Scheck Family Religious School with all information regarding my child(ren)'s health, which may reasonably be needed to meet the medical and/or physical needs of my child(ren). I further agree that I can be reached at the telephone number(s) I have provided during the hours my child(ren) is/are at Beth Torah Benny Rok Campus. If an emergency arises, and none of the above numbers can be contacted for any reason, I hereby authorize Beth Torah Adath Yeshurun Inc, DBA Beth Torah Benny Rok Campus to seek emergency medical treatment administered by, but not restricted to, paramedics, hospital emergency room employees, and/or other medical professionals as reasonably necessary for the emergency medical treatment of my child(ren). I hereby release Beth Torah Adath Yeshurun Inc, DBA Beth Torah Benny Rok Campus and its staff members from any liability resulting from any medical services provided and agree to pay for such services upon invoice. I understand that the resulting expenses will be my responsibility and not the responsibility of Beth Torah Adath Yeshurun Inc, DBA Beth Torah Benny Rok Campus.

PHOTO RELEASE
I agree to allow my child’s name, photograph, and information to be used by Beth Torah Benny Rok Campus and Scheck Family Religious Schools in the programs' publications, videos, promotional materials social media and website, without compensation and without prior notice. I release and hold the school harmless from any liability stemming from the use of my child’s name, photograph, or information.

RECORDS RELEASE
I agree to allow my child’s name, photograph, and information to be used by Beth Torah and The Scheck Family Religious School publications, videos, promotional materials social media and website, without compensation and without prior notice. I release and hold the school harmless from any liability stemming from the use of my child’s name, photograph, or information.
I understand that all students must provide updated vaccine records to the Scheck Family Religious School office prior to the first day of school.  ALL STUDENTS attending the Scheck Family Religious Program  MUST be fully immunized as of the first day of school.  Religious School does not accept religious exemptions.  To the extend that you believe that your child is medically exempt, that exemption will be considered on a case-by-case basis.
Tue, July 23 2024 17 Tammuz 5784