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Religious School Registration 2024-2025
Please verify reCaptcha before submitting the form.
Shalom! Thank you for registering your child(ren) for Religious School this coming year!!
Please share the following information with us, so that we can plan for a successful year for all members of our learning community.
You can either submit payment after completing this form, or be billed at a later date. Current fees and supporter options are listed below. For grades K-7 a $30 snack fee for Sunday will be added. Registration is due by
September 6
for returning families; any registration after that date, for returning families, may be charged a late fee.
Please note, our Kindergarten class this year is open to students who have turned 4.5 by September 1, 2024.
We offer 2 choices for payment, with the option to pay as a Religious School Supporter, helping us to best serve our school population. This amount helps us to be able to use less of the synagogue's overall budget towards the religious school. If you are able, we encourage you to pay the supporting fees. There is also an option at the end of this form to add a donation to our education program. We also understand that doing so is not financially viable for all families, and invite you to make the best choice for your family.
Fees are as follows:
Grade K -- $180
Grades 1-2 - $1,170
Grades 3-7 - $1,420
High School Grades 8-12 - $360
Optional at Home Hebrew - $180
Supporting Fees:
Grade K -- $360
Grades 1-2 - $1,500
Grades 3-7 - $1,800
High School Grades 8-12 - $500
Optional at Home Hebrew - $360
Please fill out the entire form for your child(ren). For technical reasons, within the system, we are unable to make some of the questions required. Please fill it all out. Thanks!!
STUDENT DETAILS
*
Please indicate the number of students you will be registering in religious school today.
0
1
2
3
4
5
6
7
8
9
10
Student First Name
Student Last Name
Grade of Student for School year 2024-2025
Please Select One
Kindergarten ($180)
Kindergarten Supporter ($360)
1st Grade ($1,170)
1st Grade Supporter ($1,500)
2nd Grade ($1,170)
2nd Grade Supporter ($1,500)
3rd Grade ($1,420)
3rd Grade Supporter ($1,800)
4th Grade ($1,420)
4th Grade Supporter ($1,800)
5th Grade ($1,420)
5th Grade Supporter ($1,800)
6th Grade ($1,420)
6th Grade Supporter ($1,800)
7th Grade ($1,420)
7th Grade Supporter ($1,800)
8th Grade ($360)
8th Grade Supporter ($500)
9th Grade ($360)
9th Grade Supporter ($500)
10th Grade ($360)
10th Grade Supporter($500)
11th Grade ($360)
11th Grade Supporter ($500)
12th Grade ($360)
12th Grade Supporter ($500)
We invite Grades 3 to 6 to register for Ivrit BaBayit, which provides personalized online Hebrew teaching in the home, instead of coming in person on Tuesday afternoons
Please Select One
Ivrit BaBayit ($180)
Ivrit BaBayit Supporter ($360)
Not
Registering for Ivrit BaBayit
If you are not sure about signing up, you will be able to sign up later.
This child is is grade K to 7. I agree to the $30 snack fee.
I agree
Please select this box if your child is in Kindergarten through 7th Grade.
What does your child like to be called?
What pronouns does your child use?
Date of Birth (MM/DD/YYYY):
Email Address for Student
Please do not use one of the parents' emails
Cell Phone for Student
Please do not use one of the parents' cell numbers
Secular/Day School Name
Does your child have an IEP or 504 Plan?
Please Select One
No
Yes
Does your child have other needs or disabilities?
Please Select One
No
Yes
What else do we need to know about their needs?
We will follow-up before the school year begins.
Does your child have any allergies? (for example, food, medications, bee stings)
Please Select One
No
Yes
Comments
If you checked any allergies, please give us details: Epi-pen information; if the allergy is inhaled, ingested or from contact; specific medication allergy. This information is extremely important in the event of an emergency, and so that we can avoid allergens for your student.
Does your child have an Epi-Pen?
Please Select One
No
Yes
If yes, does your child carry the epi-pen or would you like us to keep it in the office or with the teacher?
What medications does your child carry with them?
Some examples would be: Epi-Pen, insulin, inhaler, benedryl, etc.
What medications does your child take regularly?
Please be specific as this could be important in the event of an emergency.
What are your child's favorite activities?
What are some of your child's favorite snacks?
Is there anything else that would be helpful for us to know about your child?
ADULT INFORMATION
You must provide information for at least one parent/guardian. Room has been included for up to four people.
Adult #1
*
Adult 1 First Name
*
Adult 1 Last Name
*
1. Relationship to Student
*
1. Cell Phone
*
1. Email
Adult #2
Adult 2 First Name
Adult 2 Last Name
2. Relationship to Student
2. Cell Phone
2. Email
Adult #3
Adult 3 First Name
Adult 3 Last Name
3. Relationship to Student
3. Cell Phone
3. Email
Adult #4
Adult 4 First Name
Adult 4 Last Name
4. Relationship to Student
4. Cell Phone
4. Email
OTHER FAMILY INFORMATION
Who else is in your immediate family?
*
Who may pick up your student(s)? Please give full names and cell numbers (other than those listed above). If no one else may pick them up, type "no one."
*
EMERGENCY CONTACTS: Please give us 2 people (other than you or those listed above) that we may contact in the event that we cannot reach you. Please list their names and contact phone numbers.
PERMISSIONS
*
EMERGENCY HEALTH MEASURES: I hereby give Beth David staff permission to take whatever emergency health measures as they deem necessary for the health and safety of my child or others.
EMERGENCY HEALTH MEASURES: I hereby give Beth David staff permission to take whatever emergency health measures as they deem necessary for the health and safety of my child or others.
*
FIELD TRIPS: I give permission for my child to attend field trips during Religious School.
Please indicate agreement by marking the check box.
Please Select One
Yes, I give permission
No, I do not give permssion
*
PHOTO PERMISSION: From time to time we take pictures during school. We would like your permission to use these pictures. We will never reference your child by name or provide any specific information regarding your child. We also will never sell these pictures; we will use them exclusively for internal purposes and promotional activities (including, but not limited to our website, Facebook page, flyers, and brochures). We will always ask before using your child's image if we are using the image for any other purpose.
Please Select One
Yes, I give permission
No, I do not give permission
Any other, or more specific, permissions or restrictions for use of your child(ren)'s image?
*
OVER-THE-COUNTER MEDICATIONS: With your permission, your child may be given the below over-the-counter medications. We will contact you or your designated emergency contact before giving any medication or treatment except in the case of any emergency. Please indicate which, if any medications your child may be given.
Ibuprofen (such as Advil)
Acetaminophen (such as Tylenol)
Antacid (such as Tums)
Antihistamine (such as Benadryl)
Cough Drops (such as Halls)
Any of the Above
None
Please list any other over-the-counter medications your child may take that are not listed.
*
Please sign below indicating that all information provided is current and accurate to the best of your knowledge.
Please type your full name.
If you would like to make an additional donation to the religious school please enter the amount below.
Total Amount to be Billed
*
I understand that checking this constitutes a legal signature.
I understand that checking this constitutes a legal signature.
Thank you for registering your family for Religious School!!! We'll be in touch soon with more details about the year.
Sat, April 26 2025 28 Nisan 5785
