Religious School Registration

Beit Sefer Phyllis Mintzer (BSPM) 2016-2017 Registration Form

Student and Family Information
  • CSZ embraces all gender identities.
  • If you select "no," we will send materials to the adult listed as "Parent 1."
  • Medical and Emergency Information

    This section asks for emergency contact information for someone other than Parent 1 or Parent 2.
  • Please describe all medical conditions, allergies, learning, or classroom needs of which we should be aware.