Day School Student Fee for Religious School

This form is for Religious School payment for Day School students in kindergarten-12th grade, including Hebrew High. There is a reduced fee of $500 for our Day School Students to attend Religious School.

Parent Name(Required)

First Last

Parent Email(Required)

Parent Phone(Required)

Child 1(Required)

First Name

Grade (K-12)(Required)

Child 2

First Name

Grade (K-12)

Child 3

First Name

Grade (K-12)

Fee - Per Child

Price: $500.00

Total

Payment Method(Required)

I will mail a check to CBI

Credit Card (Visa or Mastercard)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Credit Card(Required)

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name