CBHCS Student Registration 2017-18

Please fill out one form for all children.
To add a child's information, click the + button.

* Primary email address

To Add A Student, click +

* Student First Name

* Student Last Name

* Birthday (hover over box and click on "down arrow" to see months)

* CBH Grade for THE UPCOMING SCHOOL YEAR, 2022-23

* What are your child's pronouns?

Weekday School your child attends

Other Pronouns:

Favorite School Subjects and After School Activities

Your Child's Hebrew Skill Level:

No BackgroundBasicOn LevelAdvanced

Choose one

Would you describe your child as an:

IntrovertExtrovert

Previous Religious School Experience Outside of CBH (include name of school and years).

List any environmental, food, medicine, or other allergies and any other food restrictions: (i.e. vegetarian)

List any medical concerns or medications which may affect your child's classroom experience:

List any physical restrictions/limitations your child has that may affect their experience.

If Yes, please describe below:

If yes, does your child have an IEP (Individualized Education Plan)?

YesNo

If Yes, please describe below:

What types of things motivate your child?

Does your child prefer more or less structured learning environments?

Please list two to three goals you have for your child in our program.

Is there anything you want us to consider in terms of classroom assignments? (WE CAN MAKE NO GUARANTEES ABOUT CLASSROOM PLACEMENT)

TO ADD ANOTHER CHILD, CLICK THE PLUS SIGN BELOW

CBH Member?

Students may attend the CBH Community School for up to one school year
as a non-member. You must become a member of CBH in order to re-enroll your child. To join, please contact the CBH Office at 404.315.6446.

Parent Information, Click + for each parent

Parent First name

Parent Last Name

Best Phone Number

Alternate Phone Number

Parent Address

Parent City

Parent State

Parent Zip Code

* Emergency Contact First & Last Name

Emergency contact is someone other than the parent/guardian.

* Relationship to Child

* Emergency Contact Phone Number

Photo Consent

I do give consentI do NOT give consent

Please check preference above regarding permission for your child (listed above) to be photographed during the Community School hours and/or at other synagogue functions, and for these photographs to be used on the CBH website, in brochures, advertisements, or other synagogue related purposes with the sole discretion of the CBH Community School.

Parent Signature

Signature for consent/no consent for photos of child.

Date

*If you are submitting payment by check, in installments, or are submitting payment on a different form, do not use the section below.
Skip down to "other amount".

Tuition Rates

Grades K-7 by May 31, 2017 - $718
Grades K-7 by July 31, 2017 - $868
Grades K-7 August 1 or later - $1,043

Non-member tuition - $1,043

B'nai Mitzvah Class - $250
(Additional mid-week class required during year before B'nai Mitzvah)

Parent 'n Me Pre-K - $300
Parent 'n Me Pre-K - non-members - $335
(Meets once a month)

Multi-child discount: You may take $50 off the tuition for each additional child in your family.
(Grades K-7; CBH members only)

New Students
For first time registrants/non-CBH members - Welcome! Synagogue policy states that children can attend the Community School for up to one school year without CBH membership. For membership information, please contact the CBH Office:
404-315-6446 or admin@cbhatlanta.org.

Re-enrollment
In order to re-enroll your child, the following must be completed:
* You need to be a board-approved CBH member. (Note: The board usually meets on the 4th Wednesday of every month. Applications must be submitted prior to that date in order to be considered in a given month.)

* You must be a "member in good standing", which means your membership dues are paid up to date.

* Previous year tuition must be paid in full or you must have a board-approved payment plan.

Registration, Members - choose number of children in each category

Early Registration - ENDED

Registration by July 31 per child - $868

Late Registration August 1 or later - $1043

Bnai Mitzvah Class - $250

Parent n Me Pre-K - $300

Additional Instructions

Choose a quantity for number of students enrolling in each category. The form will add the cost and total it for you.
You may submit one form to pay for all children.
Once you have made a payment, write "0" in the box for "other amount" when filling out the form for other children.
Multi-child discount: If you have more than one child attending school at CBHCS and are a CBH member in good standing, you may take off $50 for each additional child in the family. For example: Your first child would pay full tuition. Your second, third, fourth children would receive -$50 off tuition each. If you have two children registering, enter 1. If you have three children registering, enter 2.

Registration, Non-Members

Registration K-7 non-member - $1043

Parent n Me non-member - $335

Choose a quantity for number of students enrolling.

Matan Scholarship Fund Donation - enter an amount ($18, $36, $54, etc.)

The Matan Fund provides financial aid to CBH Community School families, to help them provide their children with a Jewish education in the spirit of our community.

Multi-child discount (-$50 per child)

Multi-child discount: If you have more than one child attending school at CBHCS and are a CBH member in good standing, you may take off $50 for each additional child in the family. For example: Your first child would pay full tuition. Your second, third, fourth children would receive -$50 off tuition each. If you have two children registering, enter 1. If you have three children registering, enter 2.

Other amount

If you have multiple children enrolling and are submitting your payment on a different form, enter 0.
If you are paying by check, enter 0.
If you would like to make payments in installments, enter 0 and contact the CBH office.

Total

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