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ECE Re-Registration
ECE Re-Registration
ECE Re-Registration
ECE Re-Registration Form
The 2022-2023 school year is rapidly approaching. To secure your space, a non-refundable, non-transferable, re-registration fee is required to insure your child's class placement for next year.
A deposit must be received no later than Friday, April 8, 2022 and is due with submission of this form.
If we have not received your re-registration by April 8, 2022 we will assume that you have made other arrangements for your child for the next school year. We will then begin to fill all open spaces from our waiting list.
This registration form is to be used for the 2022-23 school year only and a separate form is required for each child.
*
Child's First Name
*
Child's Last Name
Child's Birthdate
*
Current Room #
Please Select One
1
2
3
5
6
8
10
12
13
*
Age as of September 1, 2022
*
Age Group Requested for Fall 2022
2's (Must be 2 by 9/1/2022) - $150 deposit
3's (Must be 3 by 9/1/2022) - $150 deposit
4's (Must be 4 by 9/1/2022) - $250 deposit
Please select only one.
*
Parent 1 First Name
*
Parent 1 Last Name
*
Parent 1 Email
*
Parent 1 Phone
Parent 2 First Name
Parent 2 Last Name
Parent 2 Email
Parent 2 Phone
*
Address
Street Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
ZIP / Postal Code
Deposit Total
When you click submit below you will be directed to the payment page.
Wed, May 25 2022
24 Iyyar 5782
Temple Aliyah Live
Wed, May 25 2022 24 Iyyar 5782