Breman Education Center Visiting Student Form

* Parent/Guardian Email

* On what date is your guest attending BEC?

Please inform the BEC staff at least a week before your guest is attending.

Guest Information:

* Guest Full Name

* Guest Address

* City

* State

* Zip Code

BEC Student Information:

* BEC Student Full Name

* BEC Student's Grade

BEC Student's Teacher

If you do not know the student's teacher, please leave this blank.

BEC Student's Room Number

If you do not know the student's room number, please leave this blank.

* Has this child ever visited Breman Education Center before?

A guest may only visit once during a school year.

Parent/Guardian of Guest:

* Parent 1 Full Name

Parent 2 Full Name

* Street Address

* City

* State

* Zip Code

* Cell Phone 1

Cell Phone 2

* Parent Signature

Please type the parent/guardian's full name in the box

Guest Emergency Contact Information:

* Emergency Contact Full Name

* Phone Number

* Physician Name

* Phone Number

* Dentist Name

* Phone Number

* In case of injury or illness, an effort will be made to contact the designated Parent/Guardian.

If an injury or illness is serious and the Parent/Guardian and Additional Emergency Contact
is unavailable, do you wish the designated physician or dentist to be contacted?

Tue, May 20 2025
22 Iyar 5785

Update

Today's Calendar

WELC

: 7:30am

WELC Graduation Practice

: 10:00am

B'nei Mitzvah Tutoring

: 5:00pm

Upcoming Programs & Events

May

WELC
Tuesday, May 20 7:30am

May

WELC Graduation Practice
Tuesday, May 20 10:00am

May

B'nei Mitzvah Tutoring
Tuesday, May 20 5:00pm

May

WELC Last Day of School & Pre-K Graduation
Wednesday, May 21 7:30am

May

WELC Pre-K Graduation & Reception
Wednesday, May 21 11:00am

This week's Torah portion is Parashat B'har-B'chukotai

Shabbat, May 24

Yom Y'rushalayim

Monday, May 26

View Calendar

this content.

Tue, May 20 2025 22 Iyar 5785