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9th-12th Grade Inquiry Form
Please complete one form per child.
Teen Name
(Required)
First
Last
Teen Grade
(Required)
9th Grade
10th Grade
11th Grade
12th Grade
Parent 1 Name
(Required)
First
Last
Parent 1 Email
(Required)
Parent 1 Cell Phone
(Required)
Parent 2 Name
First
Last
Parent 2 Email
Parent 2 Cell Phone
Please select one of the following options:
(Required)
Tuition plus two-parent family membership
Tuition plus one-parent family membership
Tuition only (only for members who have a child enrolled in another one of our school programs including Religious School, Briskin and BNECC)
Tuition plus Chai patron membership (membership + $2000)
Tuition plus Tzedek patron membership (membership + $4000)
Tuition plus Chesed patron membership (membership + $7500)
Tuition plus new Teen membership ($500)
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