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2021-22 Membership Renewal and School Form

                                              
Welcome!

By renewing your commitment to Temple Beth David, our community will continue to thrive.  Your contributions make educational and social programming available for members of all ages, help maintain our physical building and grounds, and pay for staff salaries. Thank you for ensuring TBD's legacy remains vibrant and strong for this and future generations.

Regardless of your membership level indicated above, please make a selection below to demonstrate the strongest financial commitment you can make to Temple Beth David. If you are able to participate at the Honor Circle level, please know your generosity will help ensure no family is turned away from TBD's Jewish community. We are especially grateful to our Honor Circle members for allowing TBD to continue providing and sustaining Jewish life in our community.

BUILDING MAINTENANCE FEE

PERSONAL INFORMATION

Adult 1 Information

Adult 1 TBD Involvement


Adult 2 Information

Adult 2 TBD Involvement


Please include the names of all your children under the age of 25 as they are included in your membership. Children 26 and older must apply for membership on their own.

Child 1

Child 2

Child 3

Child 4

RELIGIOUS SCHOOL ENROLLMENT INFORMATION
Religious School Registration
 

2021-22 School Tuition and Fees: 

  • Pre-K/K - $470
  • 1st Grade - $555
  • 2nd Grade - $615
  • 3rd Grade - $740
  • 4th Grade - $820 
  • 5th Grade - $850 + B'nai Mitzvah Assessment of $150
  • 6th Grade - $890 + B'nai Mitzvah Assessment of $250
  • 7th Grade - $1065 + B'nai Mitzvah Assessment of $250
EDUCATIONAL CONSIDERATIONS

In the text box(es) below, please note if your child(ren) receive(s) any education services, such as IEP, Adaptive Equipment, Special Education, Outside Tutoring, Physical / Occupational Therapy, Behavioral Resource, Gifted/Talented, etc.

 
DIAGNOSES OR ASSESSMENTS

In the text box(es) below, please note if your child(ren) is/are diagnosed as having, or is being assessed for any of the following: ADHD, Anxiety, Autism  Spectrum Disorder, Conduct/Oppositional Disorder, Developmental/Cognitive Delay, Depression, Emotional/Behavioral Disorder, Hearing Disorder, Learning Disability, Obsessive Compulsive Disorder (OCD), Speech/Language Disability, Physical Disability, Cerebral Palsy, Tourette Syndrome, Visual Impairment, Other.
MEDICAL INFORMATION
Please enter one or more names of people you authorize to pick up your child(ren) after school.
EMERGENCY CONTACT INFORMATION 
 

Please list two people who we may contact in the event we are unable to reach a parent in an emergency.

e.g. grandparent, aunt, family friend, etc.
e.g. grandparent, aunt, family friend, etc.

ADDITIONAL DONATION TO TEMPLE BETH DAVID

Inspiring worship, engaging study, meaningful social action; all are made possible by your generosity.  While membership contributions sustain our community at the basic level, your additional donations of the heart have allowed us to do so much more. If you'd like to make an additional gift to support a specific cause at TBD, please enter the amount in the appropriate box below.

Includes Membership, Building Maintenance Fee, Sisterhood, donations, and school registration fees.

MEMBERSHIP SUMMARY
ADMINISTRATION
 

On the next page you will be presented with payment options.

You may make your payment by ACH/eCheck, credit card, or choose to have it billed to your account so that you may make other arrangements, such as paying by check.

If you choose to pay by ACH/eCheck or credit card, you may also specify if you wish to pay in full via a single payment, or via 2-10 monthly installments, right on the payment page. If you choose to pay now via a single payment, your account will be charged on 07/01/2021 or the date you made your payment, whichever is later.

IMPORTANT NOTE:  We strongly encourage you to select either ACH/eCheck or a credit card for your payments. By using one of these methods it improves the temple's ability to serve our members and reduces manual input.  

If you wish to pay using an alternate method (e.g. mailing in a check), on the next page please select Pay this amount [Once Now], then select Bill To My Account.  (You must be logged in to see this option so the system knows which account to bill.) Even though you are required to select [Once Now], you can submit payments as you wish (monthly, quarterly, etc.).  

Please click the 'Save and Continue' button below.

Tue, June 22 2021 12 Tammuz 5781