ECC New Child Registration Form 24-25

Thank you for your interest in BTEE's ECC!

Please fill out this registration form for your child(ren) that you would like to enroll in the ECC.

Once you submit this form, and before you can pay the registration fee, you will be prompted to create a new password for your account:

With your password set, you will next be prompted to pay the $200 per child registration fee.

After this registration form and corresponding payment are processed, we will contact you regarding enrollment status. If accepted, you will receive instructions to complete the online enrollment application and schedule a time to pick up all required paperwork.

Registration does not guarantee enrollment and we prioritize returning families, BTEE temple members, and full-day schedule requests.

If you have any questions, contact us at 818-845-1734 or preschool@btee.org.

Primary Home Address

Home Address

City

State

Zip

Adult 1

* Adult 1 First Name

* Adult 1 Last Name

* Adult 1 Email

* Adult 1 Cell Phone

Adult 2

Adult 2 First Name

Adult 2 Last Name

Adult 2 Email

Adult 2 Cell Phone

Child 1 Information

Child 1 First Name

Child 1 Last Name

Child 1 Date of Birth

Potential Start date (if known)

* Schedule Options (5 days, Mon-Fri)

Extended Care Needs

* $200 Registration Fee

$200 Registration Fee

A $200 non-refundable registration fee is due for each student.

Would you like to register another child?

Child 2 Information

Child 2 First Name

Child 2 Last Name

Child 2 Date of Birth

* Potential Start date (if known)

* Schedule Options (5 days, Mon-Fri)

* Extended Care Needs

* $200 Registration Fee

$200 Registration Fee

A $200 non-refundable registration fee is due for each student. Please select this box.

When complete, please click submit. You will then be prompted to create a new password for your account. Once you create the password, you will be able to pay the registration fee.

Sun, May 5 2024 27 Nisan 5784

ECC New Child Registration Form 24-25

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