Religious School Registration 2025-2026 - Temple Beth Torah

Parent/Guardian Information – Step 1 of 3

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1 Name

First

Last

Parent/Guardian 1 Email

Parent/Guardian 1 Cell Phone

Parent/Guardian 1 Home Phone

Parent/Guardian 1 Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian 2 Name

First

Last

Parent/Guardian 2 Email

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Home Phone (if different)

Parent/Guardian 2 Address (if different)

Address Line 1

Address Line 2

City

State

Zip Code

If divorced, custodial parent or guardian:

Anyone who cannot exercise custody:

Besides Parent/Guardian, authorized to drop-off/pick-up: