B'NAI BUTTE RELIGIOUS SCHOOL REGISTRATION
Please return to B’nai Butte, P.O. Box 2537, Crested Butte, CO 81224 by September 1, 2011:
Child’s name _______________________________________________________
Birth date ________________ Grade ________
Child’s name _________________________________________________________
Birth date ________________ Grade ________
Father’s name _________________________________________________________
Address _____________________________________________________________
e-mail ______________________________________ Phone ___________________
Mother’s name ________________________________________________________
Address _____________________________________________________________
e-mail ______________________________________ Phone ___________________