2023-2024 Beth El Early Learning Center Stand-By-Status List

PARENT 1 INFORMATION

Title

* First Name

* Last Name

* Email

* Cell Phone - Enter as: (xxx) xxx-xxxx

HOME ADDRESS

* Street Address 1

Street Address 2

(Enter Apt #, Suite #, etc)

* City

* State

* Zip Code

Subdivision

Home Phone - Enter as: (xxx) xxx-xxxx

Please do NOT enter CELL #

BUSINESS INFORMATION

* Are you Retired?

* Occupation

RELIGIOUS BACKGROUND

* Religious Background

Non-Jewish Denomination

PARENT 2 INFORMATION

Title

First Name

Last Name

Email Address

(Please use a different email address than specified for Parent 1)

Cell Phone - Enter as: (xxx) xxx-xxxx

Is home address for Parent 2 same as for Parent 1 ?

HOME ADDRESS (Parent 2)

Street Address 1

Street Address 2

City

State

Zip Code

Subdivision

Home Phone - Enter as: (xxx) xxx-xxxx

Please do NOT enter CELL #

RELIGIOUS BACKGROUND

Religious Background

Non-Jewish Denomination

BUSINESS INFORMATION

Are you Retired?

Occupation

*
How many children would you like to enroll in our program?

* Child-1 First name

* Child-1 Last name

* Child-1 Date of birth

* Child-1 Gender

* Schedule options for Child-1

* Child-2 First name

* Child-2 Last name

* Child-2 Date of birth

* Child-2 Gender

* Schedule options for Child-2

* Child-3 First name

* Child-3 Last name

* Child-3 Date of birth

* Child-3 Gender

* Schedule options for Child-3

* Child-4 First name

* Child-4 Last name

* Child-4 Date of birth

* Child-4 Gender

* Schedule options for Child-4

Does the child you wish to register have any siblings?

If YES, please list their ages below

Age of Sibling 1

Age of Sibling 2

Age of Sibling 3

Age of Sibling 4

Have any of your child's older siblings attended the Beth El Early Learning Center in the past?

If YES, please list their names below

First Name

Last Name

First Name

Last Name

First Name

Last Name

Have any of your children ever attended our Summer Adventure Camp in the past?

If YES, please list their names below

First Name

Last Name

First Name

Last Name

First Name

Last Name

TEMPLE MEMBERSHIP

Please tell us how you found us?

* Are you or your spouse related to any current Temple Beth El members?

First Name

Last Name

Relationship

First Name

Last Name

Relationship

First Name

Last Name

Relationship

* Have you ever been members of TEMPLE BETH EL in the past?

* Have you belonged to any other synagogue during the past 24 months?

* Name of synagogue

* Do you or your spouse have any relatives who are current members of TEMPLE BETH EL?

Example: Parents, grandparents, aunts, uncles, cousins, etc
If so, please list their names below

First Name

Last Name

Relationship

First Name

Last Name

Relationship

First Name

Last Name

Relationship

COMMENTS

Is there anything else you would like to share with us?

Fri, February 3 2023
12 Sh'vat 5783

Today's Calendar

Blue Jeans Shabbat Shira Dinner

: 7:30pm

Friday Night

Blue Jeans Shabbat Shira Dinner

: 7:30pm

Upcoming Programs & Events

Feb

Blue Jeans Shabbat Shira Dinner
Friday, Feb 3 7:30pm

Feb

Young Jewish Professionals: Music on the Ave
Sunday, Feb 5 6:00pm

Feb

Brotherhood Networking at Barrel of Monks
Monday, Feb 6 6:30pm

Feb

Parenthood Presents: Girls' Night In - Vino, Vinyasa & Vision Boards
Thursday, Feb 9 7:30pm

Feb

Shabbat Unplugged - The Bible Players
Friday, Feb 10 6:00pm

Tu BiSh'vat

Monday, Feb 6

View Calendar

Join Our Mailing List

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Zmanim

Alot Hashachar	5:54am
Earliest Tallit	6:21am
Netz (Sunrise)	7:04am
Latest Shema	9:49am
Zman Tefillah	10:44am
Chatzot (Midday)	12:34pm
Mincha Gedola	1:02pm
Mincha Ketana	3:47pm
Plag HaMincha	4:56pm
Candle Lighting	5:47pm
Shkiah (Sunset)	6:05pm
Tzeit Hakochavim	6:40pm
More >>

Fri, February 3 2023 12 Sh'vat 5783