Information we should know about your child?
Allergies or Medical Concerns:
B'nai Zion Religious School and Hebrew School 
Registration and Payment Information Form

If you have more than 1 child, you can use this form for all children.
Information in BLUE only needs to be filled out if it is different from last year.

PLEASE COMPLETE THIS FORM AND CLICK "SUBMIT" AT THE BOTTOM OF THE PAGE.
PAYMENT IS DUE BY THE FIRST DAY OF CLASS

1 Student First Name:
Address:
Home Phone:
1 E-mail:
Work Phone:
Last Name:
City:
State:
ZIP:
Hebrew Name:
(if known)
Other:
Tuition is $250 per child for Religious School (K-3- Confirmation) Note new tuition amount
AND $200 per child in Hebrew School (3rd grade through Bar/Bat Mitzvah)

Contact Helaine Braunig if you want to arrange a payment plan or need to discuss tuition.
Back to HebrewDoc page
Total Religious School Payment ($250 per child) Note new tution amount
Current School Grade:
Current School:
1 Contact Phone:
1 Contact Name:
1 Relation to Child:
 Payment must be received by first day of Religious School (unless payment plan has been authorized). 
2 Student First Name:
Last Name:
Current School Grade:
Current School:
3 Student First Name:
Last Name:
Current School Grade:
Current School:
4 Student First Name:
Last Name:
Current School Grade:
Current School:
5 Student First Name:
Last Name:
Current School Grade:
Current School:
Student Information:
Guardian Information:
Payment Information:
Make Check Payable to B’nai Zion (245 Southfield Road  Shreveport, LA 71105), or
to pay with Credit Card (Discover Card, Master Card, or Visa) call the office 318-861-2122 
Total Hebrew School Payment ($200 per child)
Information we should know about your child?
Allergies or Medical Concerns:
Information we should know about your child?
Allergies or Medical Concerns:
Information we should know about your child?
Allergies or Medical Concerns:
Information we should know about your child?
Allergies or Medical Concerns:
Hebrew Name:
(if known)
Hebrew Name:
(if known)
Hebrew Name:
(if known)
Hebrew Name:
(if known)
2 E-mail:
2 Contact Phone:
2 Contact Name:
2 Relation to Child:
Use the form below for RETURNING STUDENTS.


NEW STUDENTS: Print the long form by clicking HERE