REGISTRATION INFORMATION
Does this student have a sibling who will also attend Cool Shul's Pre B-Mitzvah program? If so, please list to the right.
PAYMENT INFORMATION
If you are or would like to become a monthly/annual donor: Tuition for this program is reduced to $825.00 per child if you also agree to a monthly donation of $100 (or more) per month or an annual donation of $1200 (or more) per year. Becoming a part of this partnership program will also give you savings on Holy Days tickets and other events as well. If you are or want to become a donor at this level, please enter $825.00 per child below to pay for this program and enter the annual donation amount (you will be able to divide it into 12 monthly payments) below. Please do not choose this option if you are not signing up to be one of our monthly donors.
If you would prefer not to become a monthly or annual donor: The cost of this program is $1325.00 per child if you are not a monthly or annual donor at the level described above. If you are not able to become a monthly or annual donor at the above level, please enter $1325.00 per child below.
Please contact our Treasurer if you would need to make other financial arrangements. We won't ever turn a student away because of finances!
MEDICAL INFORMATION
Please check the box to authorize the Cool Shul educators or any adult volunteers to make available medical care if such care is indicated. It is understood that a conscientious effort will be made to notify me, my spouse, or designated emergency contact before such action is taken. It is further understood that every effort will be made to contact my child's physician prior to any treatment. I give permission for my child to receive proper medical treatment by any doctor, nurse, paramedic or hospital staff licensed by the State of California.