School Application Form
Student Name (Child 1)
First Name
Last Name
Age (Child 1)
Grade Level as of Fall 2023 (Child 1)
Date of Birth (Child 1)
-
Month
-
Day
Year
Date
Gender (Child 1)
Male
Female
Prefer not to answer
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If the student has any medical conditions or allergies that we should be aware of, please list them down below:
Does your child have an IEP in school?
Yes
No
Describe specific support needs or other information that might help us provide the most appropriate Religious School education. If this question is not applicable to your child, please write N/A
Parent/Guardian's Information
Parent/Guardian's Name - Primary
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Parent/Guardian's Name - Secondary
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
All correspondence should go to:
Both Parents/Guardians
Just Parent/Guardian 1
Just Parent/Guardian 2
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person (different from parents or guardians)
First Name
Last Name
Emergency Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Class Selection
(For Child 1)
Please check the class options that relate to your child below (Child 1). *IMPORTANT NOTE: The *B’Mitzvah fee* covers a portion of the cost of B’Mitzvah preparation and are automatically charged when your child enters 6th grade. In some cases this may be over one year before the actual date of the Bar or Bat Mitzvah. *A $55 Material Fee is included in the TOTAL/Year listed below
Grades K-2 (1 class/wk - $410/year)
Grades 3-6 (2 classes/wk - $765/year)
6th Grade B’nai Mitzvah Fee* ($800/year)
Grade 7 (1 class/wk - $410/year)
Grades 8-10 (class every other Tuesday during Hebrew School - $205/year)
If you have another child to register, please click the arrow to fill out the next section. If not, continue to the "Photo Release" at the bottom of the page!
Student Name (Child 2)
First Name
Last Name
Age (Child 2)
Grade Level as of Fall 2023 (Child 2)
Date of Birth (Child 2)
-
Month
-
Day
Year
Date
Gender (Child 2)
Male
Female
Prefer not to answer
If the student has any medical conditions or allergies that we should be aware of, please list them down below:
Does your child have an IEP in school?
Yes
No
Describe specific support needs or other information that might help us provide the most appropriate Religious School education. If this question is not applicable to your child, please write N/A
Class Selection
(For Child 2)
Please check the class options that relate to your child below (Child 1). *IMPORTANT NOTE: The *B’Mitzvah fee* covers a portion of the cost of B’Mitzvah preparation and are automatically charged when your child enters 6th grade. In some cases this may be over one year before the actual date of the Bar or Bat Mitzvah. *A $55 Material Fee is included in the TOTAL/Year listed below
Grades K-2 (1 class/wk - $410/year)
Grades 3-6 (2 classes/wk - $765/year)
6th Grade B’nai Mitzvah Fee* ($800/year)
Grade 7 (1 class/wk - $410/year)
Grades 8-10 (class every other Tuesday during Hebrew School - $205/year)
If you have another child to register, please click the arrow to fill out the next section. If not, continue to the "Photo Release" at the bottom of the page!
Student Name (Child 3)
First Name
Last Name
Age (Child 3)
Grade Level as of Fall 2023 (Child 3)
Date of Birth (Child 3)
-
Month
-
Day
Year
Date
Gender (Child 3)
Male
Female
Prefer not to answer
If the student has any medical conditions or allergies that we should be aware of, please list them down below:
Does your child have an IEP in school?
Yes
No
Describe specific support needs or other information that might help us provide the most appropriate Religious School education. If this question is not applicable to your child, please write N/A
Class Selection
(For Child 3)
Please check the class options that relate to your child below (Child 1). *IMPORTANT NOTE: The *B’Mitzvah fee* covers a portion of the cost of B’Mitzvah preparation and are automatically charged when your child enters 6th grade. In some cases this may be over one year before the actual date of the Bar or Bat Mitzvah. *A $55 Material Fee is included in the TOTAL/Year listed below
Grades K-2 (1 class/wk - $410/year)
Grades 3-6 (2 classes/wk - $765/year)
6th Grade B’nai Mitzvah Fee* ($800/year)
Grade 7 (1 class/wk - $410/year)
Grades 8-10 (class every other Tuesday during Hebrew School - $205/year)
Photo Release
From time to time, photographs may be taken of Temple Ohav Shalom events and programming, including at Religious School. These photographs may be used by Temple Ohav Shalom internally (including on the website, social media, or other materials), or externally (in marketing or other materials). Please choose ONE of the following:
I hereby grant Temple Ohav Shalom and the Religious School the right to use photographs of my child for internal and external communication, publicity and marketing.
I DO NOT grant Temple Ohav Shalom and the Religious School the right to use photographs of my child for internal and external communication, publicity and marketing.
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