Temple BZBI ECE Application 2021-2022 School Year

Thank you for your interest in the Early Childhood Program at Temple BZBI! Once you have participated in a tour, you are welcome to complete the form below and submit the $75 application fee to apply for your child for the 2021-2022 school year. Applications received by December 21, 2020 will be given priority consideration after siblings, returning families, and BZBI members. You will receive an email from us on January 4, 2021 if we can offer a spot to your child. To secure your child's spot, you must then complete an enrollment form and submit a commitment payment by February 12, 2021.

Your child must be 18 months of age as of September 1, 2021 to attend for the 2021-2022 school year. You must submit separate applications for each child. Please email Director of Early Childhood Education, Sara Goldfuss at ECDirector@BZBI.org with any questions.

* Child's First Name

* Child's Last Name

* Date of Birth

* Child's Gender

* Address

* City

* State

* Zip

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Phone Number

Parent 1 Address (if different from above)

City

State

Zip

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone Number

Parent 2 Address (if different from above)

City

State

Zip

* Are you members of Beth Zion-Beth Israel?

Please Select OneYesNo

* Are you interested in membership information?

Please Select OneYesNo

* Are you a returning family?

Please Select OneYesNo

Please select your preferred schedule below:

18 Months to 2.9 Years Old

3 Years Old

4 Years Old (Pre-K)

If you selected the four day option for the 3 year old class, please indicate which four days

* Please let us know why you selected us for your child's early childhood education:

Please use this space to share any additional information you would like us to know about your child and/or your family:

* Are you interested in information about our 8-week Summer Camp Program?

Please Select OneYesNo

* I agree to submit the $75 application fee

I agree to submit the $75 application fee

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