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, September 28 2022
3 Tishrei 5783

Wed, September 28 2022 3 Tishrei 5783