Kesher Financial Aid Request

It is our goal to make Kesher classes available to as many families as possible no matter their financial situation. Congregation Beth Israel financial assistance is a needs-based program available to synagogue members in good standing. CBI relies on your honesty regarding your financial situation. We do not ask for any personal financial documentation.

* Guardian First AND Last Name

* Guardian Email Address

* Please list children's names and grades:

* I am a member of CBI in good financial standing:

	Yes
	No

* Please let us know why you are requesting financial assistance:

* Total tuition due before aid:

Tuition prices per child = Gan: $375, K-6th: $750, 7th: $1375 8-10th: $450

* How much family can contribute

* How much aid is requested

Your request will be reviewed by the Kesher Directors and Rabbi Samuels, and Kesher co-Director Leah Bordman will be in contact with you soon! Thank you!

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail:

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Total: