High School 2022-23 - Form - Temple Emanuel of South Hills

High School 2022-23

High School Program

Grades 8-12

Sundays 12:15-1:15

Yearly Tuition $240

Last Name Parent/Guardian 1

First Name Parent/Guardian 1

Email

Cell Phone

May we send you a text message?

YesNo

Home Phone

Last Name Parent/Guardian 2

First Name Parent/Guardian 2

Email

Cell Phone

May we send you a text message?

YesNo

Home Phone

With whom does the child reside?

Emergency Contact Name

Emergency Contact Cell Phone

Emergency Contact Home Phone

Click on + for each child you would like to enroll.

Student Information

Student's Name

Student's Hebrew Name

Birthdate

Child's Preferred Gender Pronouns

My child attends (school name and district).

Grade

Wed, May 8 2024
30 Nisan 5784

Wed, May 8 2024 30 Nisan 5784