Kehillah High Registration Form 2025-26

Kehillah Registration Form 2025-26
If you are a member of Congregation Beth Israel, Congregation Beth Yeshurun or Congregation Brith Shalom, do not fill out this form. Register directly through your synagogue.

If you are a member of another congregation or you are not affiliated with a congregation, please register for Kehillah High using the form below.
Student Name*

First NameLast Name
Preferred pronoun(s)*
Student Email*
example@example.com
Teen Cell Phone*
Please enter a valid phone number.
Student Date of Birth*

MonthDayYear
School*
Grade as of Fall 2025*

8th Grade9th Grade10th Grade11th Grade12th Grade
T-Shirt Size*

SmallMediumLargeX-LargeOther
Synagogue Affiliation*

YesNoOther
Which synagogue is your family affiliated?*
Allergies - food, environment, medical, etc. *
Current medications taking:*
Dietary needs:*
Please indicate gluten free, dairy free, etc.
Contact Information
Parent/Guardian 1 Name*

First NameLast Name
Parent/Guardian 1 Phone Number*
Please enter a valid phone number.
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 2 Name

First NameLast Name
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
Parent/Guardian 2 Email
example@example.com
Home Address 1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Address 2 (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment Information

Tuition $995 per year per student.

Save $50 if paying and registering your student by August 31.

Questions? Contact Danielle Alexander at dalexander@houstonjewish.org
Tuition can be paid all at once or on a scheduled payment plan.*

I will pay the rate of $995 in full by December 31 by credit card or eCheck ($945 if paying by August 31.)I will set up recurring payments by credit card or eCheck.Other
Link for payment will be in your confirmation email.
Should be Empty:

Kehillah Registration Form 2025-26

Contact Information