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Merkaz Limud & JTL Registration Form 25-26

Merkaz Limud & JTL Registration 25-26
Parent/Guardian Information
If no parent 2 please put N/A in the box.
If no parent 2 please put N/A in the box.
If no parent 2 please put N/A in the box.
If no parent 2 please put N/A in the box.
If no parent 2 please put N/A in the box.
If no parent 2 please put N/A in the box.
If address differs from parent 1 please put information in the box. If address is same please put N/A.
Grandparent Information
Student Information
Student #1 Information
The following information will be held in the strictest of confidence. You are welcome to make an appointment with Noemi Gozlan to discuss any item at length. If you desire such an appointment, please email religiousschool@templebethemet.org 
Student #1: Does your child receive or has he/she received any of the following services?
Student #2 Information
The following information will be held in the strictest of confidence. You are welcome to make an appointment with Noemi Gozlan to discuss any item at length. If you desire such an appointment, please email religiousschool@templebethemet.org 
Student #2: Does your child receive or has he/she received any of the following services?
Student #3 Information
The following information will be held in the strictest of confidence. You are welcome to make an appointment with Noemi Gozlan to discuss any item at length. If you desire such an appointment, please email religiousschool@templebethemet.org 
Student #3: Does your child receive or has he/she received any of the following services?
Emergency Contacts
Parents are always contacted first, however, in case of illness, accident or injury please list additional people below who can be contacted. Please list persons full name, phone number and relationship to your child(ren).
Include the following information:
Name of Insured
Name of Insurance Company
Policy #
Include the following information:
Doctor Name & Phone Number
Authorization for Emergency Medical - Surgical Treatment
It is the firm hope that the authorization granted on this form will never have to be used. For the safety of your child, however, sound medical practice calls for such authorization. In emergency situations where the parent of the child cannot be contacted immediately, this form may become extremely important. The authorization granted by this form will be used only where absolutely necessary and only after every attempt has been made to contact the parents. Doctors and hospitals refuse to give any treatment, regardless of how minor, unless they have authorization from the parents.
IN THE EVENT I CANNOT BE REACHED, I HEREBY GRANT PERMISSION TO THE PHYSICIAN OR HOSPITAL SELECTED BY THE TEMPLE TO HOSPITALIZE, SECURE PROPER TREATMENT, ORDER INJECTION, ANESTHESIA, OR PERFORM SURGERY FOR MY CHILD. 
Class Schedule Preference
The safety of our families and staff are our number one priority. Families will need to be flexible during these uncertain times. Please keep an open mind when choosing your class preference. Based on current and changing CDC guidelines, TBE guidelines and health concerns, we may have to change schedules. 

PreK - 6th Grade Options The PreK-6th Grade Monday class option includes a 20 minute dinner break where parents can send in a Kosher-style dinner or preorder dinner from the school.
  • Option A: Sundays (on-site) 9:00 am-12:30 pm (PreK-6th grade)
  • Option B: Mondays (on-site) 4:00-6:30 pm (PreK-2nd grade) 
  • Option C: Mondays (on-site) 4:00-7:30 pm (3rd-5th grade) 
  • Option D: Mondays (on-site) 4:15-7:30 pm (6th grade) 
7th Grade Options
*Please note, every 7th grade student, regardless of their B'nai Mitzvah date, is required to be registered and attend a 7th grade Judaica & Hebrew class. 
  • Option E: Sundays (on-site) 9:00 am-12:00 pm (includes Hebrew & Judaica classes)
  • Option F: Mondays (on-site) 4:30-7:30 pm (includes Hebrew & Judaica classes, 30 minute dinner break)
8th, 9th, 10th Grade Confirmation Options
  • Option G:  Mondays (on-site) 6:30-8:00 pm
STUDENT CLASS CHOICES:
TBE Membership & Merkaz Limud/JTL Fee Schedule 2025-2026

Annual Membership Commitment Categories

Family Membership - $2100 (2 adults with at least 1 child in K - 12th grade)
Single Parent Membership - $1600 (1 adult with at least 1 child in Kindergarten - 12th grade)
Special Dues Membership - If you need financial assistance for your dues please contact Laura Goodman, laura@templebethemet.org or 954-680-1882

  • A $180 Refresh, Refurbish and Renew Fee (RRR) (helps with major improvements to the building) this is an opt-out fee. 
  • Security Fees: $350 yearly security fee if enrolled in Merkaz Limud (religious school)

 Merkaz Limud & JTL FEES    *(Fees are Per Child)
 

PreK - 2nd grade

Tuition

$795

Registration Fee

$65

Materials & Program Fee

$270

3rd - 7th grade

Tuition

$995

Registration Fee

$65

Materials & Program Fee

$270

8th - 10th grade

Tuition

$700

Registration Fee

$65

Materials & Program Fee

$270
Confirmation Package
(10th grade Only)
Oneg Shabbat, Flowers, setup, etc.
 $200
Registration & Financial Policy
  • Membership is required to be enrolled in Merkaz Limud/JTL.
  • There is a $350 Security Service Fee per family.
  • All Membership and Merkaz Limud/JTL fees must be paid in full by May 1, 2026.
Payment Agreement
*Registration will be processed ONLY upon full completion of Payment Agreement.
Deposit is due upon receipt of registration form. 

Payment Information

ACH Payments
*(No changes may be made within 10 business days of payment)

Credit Card & Debit Card Payment Information
*(Credit card payments will incur a 3% convenience fee, there are no additional fees for debit card payments)
Sun, August 24 2025 30 Av 5785