432 Scotland Road, South Orange, NJ 07079

(973) 763-4600 cpaster@tstinj.org
RE GISTRATI ON F ORM
September 2011 June 2012

Preschool Registration will open on:
December 20, 2010 Temple Members
January 3, 2011 Current Students and Siblings
January 10, 2011 Open Enrollment



NAME OF CHILD__________________________ SEX _____ BIRTHDATE:

AGE OF CHILD AS OF SEPTEMBER 2011 Years____________ Months______________

PARENT NAME: BUSINESS PHONE:

PARENT NAME: BUSINESS PHONE:

ADDRESS:

E-MAIL: _____________________________________________________________________

HOME PHONE: ____________________ ARE YOU A TEMPLE MEMBER? Yes [ ] No [ ]

Please select one program below:
Young 2`s: 2 day Program
[ ] M & W: 9:00 11:30 a.m.
- OR
[ ] T & Th : 9:00 11:30 a.m.
Child must be two by October 1, 2011*
Temple Member $1,650
Non-Temple Member $2,150
Deposit requi red: $500
[ ] Older 2`s: 2 day Program
T & Th: 9:00 12:00 p.m.
Child must be two by April 15, 2011*
Temple member $2,000
Non-Temple Member $2,550
Deposit requi red: $500
[ ] Older 2`s: 3 day Program
M, W & F: 9:00 12:00 p.m.
Child must be two by April 15, 2011*
Temple Member $2,950
Non-Temple Member $3,800
Deposit requi red: $500
Early Drop Off Options:
8:00am-9:00am
October 3
rd
- June 7th
| | Monday`s: $165
| | Tuesday`s: $165
| | Wednesday`s: $165
| | Thursday`s: $165
| | Friday`s: $165
[ ] Monday-Friday: $700

* Please note Kindergarten cut- off in Maplewood/South Orange is October 1st.

After selecting your choice of program, please sign this for m and enclose the requi red deposit. This
deposit will be applied to your child`s tuition. Please make check payable to TSTI.
Mail to: Carol Paster, I ris Family Center, 432 Scotland Road, South Orange, New Jersey 07079.

Parent Signature: Date:
Regist ration forms will be accepted by mail only!

Sign up to vote on this title
UsefulNot useful