Application Form

This form is for new Tamim students. If the enrollment is for a current Tamim student, please click here.
2021-2022

Please view our Tuition and Fees and Application Procedure by
clicking here.

For questions regarding the Registration Process or Tuition, please contact:
Pam at [email protected] or 561-997-7616

We can no longer take online applications for Kindergarten.
Student Information
Name*

First Name Last Name
Preferred name to be called*
Hebrew Name*
Birth Date*

Month Day Year
Grade for Fall 2021*

1st 2nd
Name of school most recently attended* Type N/A if none
Tamim Boca has the right to contact other schools the child has attended*

Yes No Not Applicable
Parent Information
Father's Name*

First Name Last Name
Father's E-mail*
Father's Cell*

Area Code Phone Number
Mother's Name*

First Name Last Name
Mother's E-mail*
Mother's Cell*

Area Code Phone Number

Address*

Home Phone

Area Code Phone Number
Parents are:*

Married Divorced Separated
If parents are divorced or separated: Who has legal custody
If parents are divorced or separated: Who is responsible for tuition payments
Please indicate primary contact regarding admissions and finances*

Mother Father
Supplemental Questions
Describe the relationship you would like to have with your child's teachers and the community.
Parent/Teacher Relationship*
Does your child have an IEP, 504 plan, or private neurospsychological or psycho-educational evaluation, and/or does your child currently receive any related service such as OT/PT, speech therapy, special education services or counseling?
Services* Indicate N/A if not applicable
Does your child have a medical condition that requires management, medication, and/or care at school (including allergies, asthma, diabetes, seizures, etc)?
Medical* Indicate N/A if not applicable
What are your goals for your child in the upcoming year?
Goals
Is there anything else you would like us to know about your child?
Other information
Is the child's mother Jewish by birth?*

Yes No
Are there any conversions in the family?*

Yes No
Are there any adoptions in the family?*

Yes No
Any additional comments?
Payment Information
Check to confirm that $75 will be processed upon submission*

Yes

Payment*

Credit Card eCheck Check/Cash

Postal / Zip Code

Country

Agreement
Click here to read the school's Vaccination Policy

Click here to read the school's current COVID Policy
I have read and understand the school's Vaccination Policy*

Yes
Child is up-to-date with all vaccinations*

Yes No
If no, please explain:
I have read and understand Tamim's current COVID Policy*

Yes
By submitting this form and checking the box below, I hereby submit this application for my child. I understand that the $75 per child Application Fee is non refundable. The Application Fee will be applied to the Enrollment Fee upon acceptance.
I agree to the above statement regarding the enrollment fee.*

Yes No
Name of Parent submitting form*
E-mail*
Should be Empty:

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Student Information