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Thursday Education Registration 2018/9

REGISTRATION INFORMATION

Does this student have a sibling who will also attend Cool Shul's Thursday program?  If so, please list to the right.

Please check this box if you give permission for images of your child to be used on our website, in advertising, and on social media.

PAYMENT INFORMATION

Cool Shul is a 501c3 non-profit and only through our partnership program will Cool Shul be able to continue to provide the services we do and continue to add more. We have reduced the tuition for this program to encourage families to participate in our partnership program and donate annually or monthly. Our goal is to have 50 families raise their hands to be our partners by donating annually or monthly in an amount of their choosing. This form requests a minimum of $85 per month, however we know not all families can do this and appreciate whatever you can give.  To make a one time annual donation immediately, please fill out the amount below. To divide your annual donation monthly, click here. If you would like us to charge your credit card monthly, email us.

If you are or would like to become a monthly/annual donor: Tuition for this program is reduced to $725 per child if you also agree to a monthly donation of $85 (or more) per month or an annual donation of $1020 (or more) per year. Becoming a part of this partnership program will also lead to savings on Holy Days tickets and other events as well.  If you are or want to become a donor at this level, please enter $725 per child below to pay for this program and enter a one-time donation below or click here to set up your monthly donation. 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 per child if you are not a monthly or annual donor at the level described above.  Of course, we are thrilled with smaller donations as well, and please consider offering one by entering a one-time donation below or clicking here to make it monthly.  However, for the half price tuition, a monthly donation at the above level is needed.  If you are not able to become a monthly or annual donor at the above level, please enter $1325 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.

Sat, April 20 2019 15 Nisan 5779