Go
Close
203-336-1858
*protected email*
Home
Bulletin
Donate
Calendar
Join Our Community
Member Login
Toggle navigation
Welcome
Who We Are
Clergy & Staff
Leadership
Bulletin
Our Story
Facility Rentals
Contact Us
Join Our Community
Jewish Life
Shabbat Services
Jewish Holidays
Life Cycle Events
B’nai Israel Boutique
Learning
Bonim Preschool
Kehilah – Youth Learning
Merkaz Community High School
Adult Jewish Learning
Scholarships
Special Needs
Community
Teens & College
Rosh Chodesh
Women of B’nai Israel
Brotherhood
LGBTQ+ / Kulanu
Kesher Project
ReConnect
NextGen
Guide for Behavioral Health Resources
Tikkun Olam
Caring Committee
Reproductive Justice
Kulanu
Food Security
Eco Justice
Mental Health Awareness Committee
CONECT
CIRI
Mitzvah Mornings
Donate
Tzedakah & General Funds
Endowment
Pave the Way
Gala and Tribute Journal 2025
Tribute Journal PDF
Tribute Journal 2025 Online Form
Infant/Toddler Registration 2022/23
Bonim Infant/Toddler Registration Form 2022/23
Registration for infant-toddlers to the Bonim Preschool.
Today's Date
(Required)
MM slash DD slash YYYY
Anticipated Start Date
(Required)
MM slash DD slash YYYY
Congregation B'nai Israel Member in good standing?
(Required)
Yes
No
CHILD INFORMATION
Child's Name
(Required)
First
Last
Child's Date of Birth
(Required)
MM slash DD slash YYYY
Address
(Required)
Street Address
Apartment or Unit #
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
PARENT/GUARDIAN INFORMATION
Parent/Guardian 1 Name
(Required)
First
Last
Relationship to Child
(Required)
Choose one
Mother
Father
Grandparent
Other
If other, what is your relationship to the child?
Your Phone Number
(Required)
Your Email Address
(Required)
Address (if different from above)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Parent/Guardian 2 Name
First
Last
Relationship to Child
Choose one:
Mother
Father
Grandparent
Other
If other, what is your relationship to the child?
Your Phone Number
Your Email Address
Address (if different from above)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Do you have other dependent children at home?
(Required)
Yes
No
Sibling(s)
Full Name
Date of Birth
Male or Female
Add
Remove
FORM OF DEPOSIT
A non refundable deposit equal to the first month's tuition is required for all new students to reserve your space. The deposit will be applied towards the first month's tuition.
Please indicate your form of deposit
(Required)
Sending a check made payable to Congregation B'nai Israel
Making a payment by credit card now
Deposit Amount (equal to your first month's tuition)
(Required)
Credit Card Fee 2%
Price:
$0.00
Total Monthly Charge (if paying by credit card)
If you choose to pay by credit card:
Once you click on the "submit registration now" button, you will be brought to a page titled Pay with PayPal. You do not need to have a PayPal account of your own to proceed. Click below it where it says Pay with Debit or Credit Card. This will bring you to the PayPal Guest Checkout. Complete the form with your credit card information there and select Pay Now at the end. If you do not get to the Pay Now button at the end, your purchase is not complete.
SERVICE AGREEMENT
I wish to enroll my child in Congregation B’nai Israel Bonim Preschool. I understand that tuition is based on a monthly fee. The rate will be the same regardless of snow days, school vacation, half days and holidays. Tuition can either be paid in full or a monthly payment authorization plan can be established. All families are required to pay one month in advance of service (i.e., July payment is due on June 1, 2022). Tuition is non-refundable and non-transferable. If at any time services are terminated by you, the following is required:
* Sixty (60) days written notice of withdrawal of your child from the program.
* Thirty (30) days written notice for all changes made to your child's schedule/payment plan.
Congregation B'nai Israel Bonim Preschool reserves the right to charge for full services throughout the notice period. I have read and understand all policy and tuition information and agree to comply.
Consent
(Required)
In submitting this agreement, I have reserved my child's space in the Bonim Preschool program.
Effective with the date submitted/received electronically in the Bonim Preschool office.
Δ