Welcome to Beit Miriam Religious School

WELCOME TO BEIT
MIRIAM RELIGIOUS
SCHOOL!

If you are new to West End Synagogue, please click on the link below to access our online registration form for the 2023- 2024 Religious School year.

If you are already a member of WES, please complete the application through your
ShulCloud account.

Please also print out and complete the following four forms. These forms must be resubmitted annually:

(1) Signature Page (one per family)

(2) Emergency/Medical Form (one per family)

(3) Covenant of Conduct (one per family, 2nd-11th grades only)

(4) Tuition Form (one per family)

The non-refundable registration deposit is $125 per student and will be credited to your tuition. Deposit checks should be made out to West End Synagogue Beit Miriam (you may also Venmo the registration deposit to Sharon-Paz-2). Please mail all four printed forms, along with your deposit check, to:

West End Synagogue Beit Miriam
3810 West End Avenue
Nashville, TN 37205

Receipt of your check, Registration Forms (hard copy or online format), Signature Page, Emergency/Medical Form, Covenant of Conduct and Tuition Form will complete registration. If you have any questions, please contact Emily Grove by phone at (615) 269-4592 ext. 18.

Thank you!

First Name

Last Name

Preferred Name

Date of Birth

Gender

Students Hebrew Name (Transliteration fine)

School

Grade in upcomming school year

Please indicate if your child has an Individualized Education Program (IEP) at school

Student Contact Information

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Preferred email address

Address (only if different than student's)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Parent 1 Information (Preferred parental contact)

Parent 1's Name

Last Name

Relationship to the student (parent, stepparent, guardian, etc)

Phone

Email address

Address (only if different than student's)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Parent 2 Information

Parent 2's Name

Last Name

Relationship to the student

Phone

Email Address

Address (only if different than student's)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Student 2

Name

Last Name

Preferred Name

Hebrew Name

Date of Birth

Gender

Phone

Email Address

School

Grade in upcoming school year

Please indicate if your child has an Individualized Education Program (IEP) at school

Student 3

Name

Last Name

Preferred Name

Hebrew Name

Date of Birth

Gender

Phone

Email Address

School

Grade in upcoming school year

Please indicate if your child has an Individualized Education Program (IEP) at school *

Student 4

Name

Last Name

Preferred Name

Hebrew Name

Date of Birth

Gender

Phone

Email Address

School

Grade in upcoming school year

Please indicate if your child has an Individualized Education Program (IEP) at school *