2021-2022 Early Childhood Application - Form

Please use this form to apply to our Bridge & Nursery School classes for the 2021-2022 school year. A non-refundable $75 admissions fee, which will serve as a confirmation of your submission, is required upon completion of this form.

CHILD'S INFORMATION

* Child: First Name

* Child: Last Name

* Child: Date of Birth

Child: Gender

* Please upload a photo of your child.

You can upload a maximum of 1 files.

PARENT(S) INFORMATION

* Parent 1: First Name

* Parent 1: Last Name

* Parent 1: Home Address

Parent 1: Home Address (2)

* Parent 1: City

* Parent 1: State

* Parent 1: Mobile

* Parent 1: Email

Parent 2: First Name

Parent 2: Last Name

Parent 2: Mobile

Parent 2: Email

Does Parent 2 have a different address?

* Parent 2: Home Address

Parent 2: Home Address (2)

* Parent 2: City

* Parent 2: State

* Parent 2: Zip

Class Preference

Class Preference

Please Select OneBRIDGE CLASSES: Gesher
Children turning two years old between 10/1/2021 and 12/31/2021
Tuesday/Thursday, 9:00-10:30amBRIDGE CLASSES: Boker Twos
3 day (children turning two years old between 7/1/2021 and 9/30/2021)
Mon/Wed/Fri 9:00-11:00amNURSERY CLASSES: Two-Day Twos
Children must be two years old by June 30, 2021
Tuesday/Thursday, 9:00am-12:00pmNURSERY CLASSES: Three-Day Twos
Children must be two years old by June 30, 2021
Monday/Wednesday/Friday, 9:00am-12:00pmNURSERY CLASSES: Five-Day Twos
Children must be two years old by June 30, 2021
Monday-Friday, 9:00am-12:00pmNURSERY CLASSES: Young Threes
Children must be 3 by December 31, 2021
Monday-Friday, 8:45am-12:15pmNURSERY CLASSES: Older Threes
Children must be 3 by January 1, 2021
Monday-Friday, 8:45am-1:00pm M-Th; 12:15pm dismissal on FridaysNURSERY CLASSES: Fours/Fives
Children must be 4 by September 1, 2021
Monday-Friday: 9:00am-2:30pm M-Th; 12:15pm dismissal on Fridays

List Names & Ages of Siblings

* List Previous Program Experience

* What would you like the early childhood experience to provide for your child?

* Is there anything else that would be helpful for us to know about your child?

Are you currently a member of Temple Shaaray Tefila?

Are you interested in learning more about temple membership?

* I Agree

I Agree

A non-refundable $75 admissions fee, which will serve as a confirmation of your submission, is required upon completion of this form.

Once we’ve received your application and all the applications are in, we will email you with a few choices for virtual information sessions.