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Erna Krouch Preschool
ICSS Registration
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Guardian 1 Name
Guardian 1 Phone Number
*
Guardian 1 Email
Guardian 1 Address Line 1
Guardian 1 Address Line 2
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Guardian 2 Name
Guardian 2 Phone Number
Guardian 2 Email
Guardian 2 Address Line 1
Guardian 2 Address Line 2
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Emergency Contact Name (Not Guardian)
*
Emergency Contact Phone Number
Child 1 Name
Child 1 School
Child 1 Grade (2020-2021 Year)
Please list/describe any relevant medical (including food allergies), developmental, or learning conditions concerning your child.
Child 2 Name
Child 2 School
Child 2 Grade (2020-2021 Year)
Please list/describe any relevant medical (including food allergies), developmental, or learning conditions concerning your child.
Child 3 Name
Child 3 School
Child 3 Grade (2020-2021 Year)
Please list/describe any relevant medical (including food allergies), developmental, or learning conditions concerning your child.
Child 4 Name
Child 4 School
Child 4 Grade (2020-2021 Year)
Please list/describe any relevant medical (including food allergies), developmental, or learning conditions concerning your child.
Medical Emergency I grant my authorization and consent for Temple B'nai Israel to summon professional emergency personnel to attend, transport, and treat my student and to issue consent for any medical treatment. I agree to assume financial responsibility for all expenses of such care. PLEASE SIGN
Can we take photos and videos of your child to post on Temple bulletins, newsletters and social media? YES OR NO
Number of Children in ICSS
ICSS Registration (Per Child) - $250 Early Bird
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After May 3, the cost is $275 per child. Due to COVID changes, we have reduced charges by 10%. You have the option to pay in full today or pay a deposit today ($36) and have the remainder of your bill charged in three installments on September 1, October 1, and November 1. There is further financial assistance available. Please contact Sarah Sweeney at 405.848.0965 or at tbieducator@coxinet.net for more information.
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Pay ICSS In Full For One Child
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Pay ICSS In Full For Two Children
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Pay ICSS In Full For Three Children
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Pay ICSS In Full For Four Children
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Pay Deposit Today
Total ICSS Payment Due Today
Thu, April 25 2024
17 Nisan 5784
Upcoming events
Thu, April 25 2024 17 Nisan 5784