Religious School Registration 2025-2026

Parent/Guardian Information
Name*

First NameLast Name
Heading
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Parent/Guardian 2

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.

Child 1 Information
Child Information (Child 1)*

First NameLast Name
Child Hebrew Name (type N/A if applies)*
Child Date of Birth*

MonthDayYear
Date
Child Age*
Child Grade in Secular School*
Child Grade in Religious School*
Allergies or Medical Conditions (type None if applicable)*
Medications (type None if applicable)*
Child Doctors Name*

First NameLast Name
Child Doctors Phone Number*
Please enter a valid phone number.
Child Dentist Name*

First NameLast Name
Child Dentist Phone Number*
Please enter a valid phone number.
Is there anything else you would like to tell us about your child?
Emergency Contact (other than parent/guardian)*

First NameLast Name
Relationship*
Cell Phone Number*
Please enter a valid phone number.
Do you have another child to register?*

YesNo

Child 2 Information
Child Information (Child 2)*

First NameLast Name
Child Hebrew Name
Child Date of Birth*

MonthDayYear
Date
Child Age*
Child Grade in Secular School*
Child Grade in Religious School*
Allergies or Medical Conditions*
Medications*
Child Doctors Name*

First NameLast Name
Child Doctors Phone Number*
Please enter a valid phone number.
Child Dentist Name*

First NameLast Name
Child Dentist Phone Number*
Please enter a valid phone number.
Is there anything else you would like to tell us about your child?
Do you have another child to register?*

YesNo

Child 3 Information
Child Information (Child 3)*

First NameLast Name
Child Hebrew Name
Child Date of Birth*

MonthDayYear
Date
Child Age*
Child Grade in Secular School*
Child Grade in Religious School*
Allergies or Medical Conditions*
Medications*
Child Doctors Name*

First NameLast Name
Child Doctors Phone Number*
Please enter a valid phone number.
Child Dentist Name*

First NameLast Name
Child Dentist Phone Number*
Please enter a valid phone number.
Is there anything else you would like to tell us about your child?
Do you have another child to register?*

YesNo

Child 4 Information
Child Information (Child 4)*

First NameLast Name
Child Hebrew Name
Child Date of Birth*

MonthDayYear
Date
Child Age*
Child Grade in Secular School*
Child Grade in Religious School*
Allergies or Medical Conditions*
Medications*
Child Doctors Name*

First NameLast Name
Child Doctors Phone Number*
Please enter a valid phone number.
Child Dentist Name*

First NameLast Name
Child Dentist Phone Number*
Please enter a valid phone number.
Is there anything else you would like to tell us about your child?

Confirmation Page
I am interested in joining the Parent Education Committee*

I would like to join the Parent Education Committee and help during school eventsI am not interested in joining the Parent Education Committee
Media Release: I grant permission for my child(ren)’s image/video to be used in Temple publications.*

YesNo
Registration is not complete until Payment option is completed.*

Yes, I understand that until I select a payment option via the Shul Cloud URL that follows, registration is not complete. Once I hit submit I will be redirected to a URL where I will have three payment options. Please double check that pop ups are enabled on your browser!
Did your pop blocker stop Shul Cloud? Did some other extraordinary technological disaster occur? Did you see this and complete it?

Let’s be real — if you’ve made it this far and still haven’t clicked to pay, we admire your determination. But for real: registration isn’t complete until ShulCloud gets its love. You missed the hint above? Happens to the best of us. Here’s your shortcut

Here It Is
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