Register

This registration form is for students in grades 8-12 enrolling in Midrasha/ MOJU. If you would like to enroll a student in the Afternoon School Program click here.

Student's Name*

First Last

Student's Date of Birth*

Student's Pronouns*

he/him
she/her
they/them

Student's Hebrew Name

Student's Email Address*

Student's Cell Phone*

Student's Current School Name*

Student's Current Grade*

Parent/Guardian Information

Parent/Guardian #1 - Name*

First Last

Parent/Guardian #1 - Relationship to Student*

Parent/Guardian #1 - Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent/Guardian #1 - Cell Phone

Parent/Guardian #1 - Email*

Parent/Guardian #2 - Name

First Last

Parent/Guardian #2 - Relationship to Student

Parent/Guardian #2 - Address

Same as Parent/Guardian #1

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent/Guardian #2 - Cell Phone

Parent/Guardian #2 - Email

School Directory

May we share your email address with other parents in our family directory?

Yes, you can list the email address(es) in the directory

Synagogue Affiliation

New or Returning Student*

New Student
Returning Student

Family Information

Siblings:

Sibling Name	Age	Current School

Is there any additional information the teacher should know about your student or family?

Section Break

Photo Publication Policy

We would like to use photos of our students in newsletters and on the webpage. Students featured in the pictures will not be identified by name without prior permission from the parent. Please check below that you are in agreement with this policy. If you are not in full agreement, please list any restrictions.

I authorize the use of my student's photograph without name identification in school publications and promotional materials without compensation or further authorization.

Photo Publication Policy - Comments/Restrictions:

Tuition Assistance

Limited tuition assistance is available for families who demonstrate a need and meet our qualifications.

Please check here if you are interested in learning about our tuition assistance program.

Parent/Guardian Signature*

Course Selection

Courses Student 1

Please select the courses you would like to enroll in:*

Some High Schools allow Hebrew classes to fulfill foreign language credits. Please indicate below if you are interested in this possibility.*

Yes, I am interested
No, I am not interested

If known, please list your High School Counselor/Advisor

Would you like to enroll another student?*

Yes
No

Student 2 Registration

Student's Name*

First Last

Student's Date of Birth*

Student's Pronouns*

he/him
she/her
they/them

Student's Hebrew Name

Student's Email*

Student's Cell Phone*

Student's Current School Name*

Student's Current Grade*

New or Returning Student*

New Student
Returning Student

Is there any additional information the teacher should know about your student or family?

Photo Publication Policy

We would like to use photos of our students in newsletters and on the webpage. Students featured in the pictures will not be identified by name without prior permission from the parent. Please check below that you are in agreement with this policy. If you are not in full agreement, please list any restrictions.

I authorize the use of my student's photograph without name identification in school publications and promotional materials without compensation or further authorization.

Photo Publication Policy - Comments/Restrictions:

Student 2 Course Selection

Courses Student 2

Please select the courses you would like to enroll in:*

Some High Schools allow Hebrew classes to fulfill foreign language credits. Please indicate below if you are interested in this possibility.*

Yes, I am interested
No, I am not interested

If known, please list your High School Counselor/Advisor

Payment Information

Payment Method*

Pay by credit card (processed by PayPal; no PayPal account required)
Pay by check
Pay by payment plan

Please note that upon submission, you will be taken to PayPal's website in order to enter your credit card information.

Please make your check payable to "Talmud Torah of St. Paul" and mail it to the school office at:

Talmud Torah of St. Paul
Marjorie Smith Hofman Educational Building
768 Hamline Avenue South
St. Paul, MN 55116

Would you like to add an amount to cover the credit card convenience fee?

Yes - let me add a 2.5% contribution

Additional contribution to cover the credit card convenience fee

Price: $0.00

Total

$0.00

Billing Address*

Same as Parent/Guardian #1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Billing Phone*

Billing Email*

CAPTCHA

Register

Parent/Guardian Information

Family Information

Section Break

Course Selection

Student 2 Registration

Student 2 Course Selection

Payment Information

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