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Student & Family Information

By choosing either Beth Shalom or Rodef Shalom as your home synagogue to receive the member tuition rate, you must:
     - be a current member in good standing of either congregation
     - and be the legal guardian of the student(s) being enrolled.
Please note: This form is also for students in grades 9-12 who would like to volunteer as madrichim.
* Indicates Response Required

Student Information

Student 1

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Register another student?

Student 2

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Register another student?

Student 3

 +
Register another student?

Student 4

 +

Parent/Guardian Information

Parent/Guardian 1 (where student resides)

Parent/Guardian 2


Grandparent Information (Optional - to receive weekly J-JEP email updates)