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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.
* Indicates Response Required
Are you interested in receiving membership information from either Rodef Shalom or Beth Shalom? *

Student Information

Student 1

Register another student?

Student 2

Register another student?

Student 3

Register another student?

Student 4


Family Information

Parent/Guardian 1 (where student resides)

Parent/Guardian 2

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

Please List Two "In-Case of Emergency" Individuals. *These individuals may be contacted if unable to reach a parent, or are authorized for student pick-up.*

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