Student Registration
Parent Information
Last Name
*
My child is a
Please Select
Returning student
New student
Address
*
City
*
Zip
*
Synagogue Affiliation
If none, leave blank.
My child(ren)...
*
Please Select
Has two Jewish parents
Has a Jewish mother
Has a Jewish father
Is Jewish by conversion
Is adopted
Is not Jewish
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Parent #1 Name
*
Email
*
Phone
*
Parent #2 Name
Email
Phone
Mother and father are....
*
Please Select
Married
Divorced
Seperated
Other
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Student Information
First Name of Child # 1
*
Grade
*
Please Select
Preschool
K
1
2
3
4
5
What grade is your child in for the 2025/2026 school year?
Date of Birth
*
-
Month
-
Day
Year
Date
Current School
*
Hebrew Reading Proficiency
*
Please Select
None
Minimal
Can read but it takes a while
Can read well
Fluent
Previous Jewish Education
*
Please Select
None
Minimal
Somewhat strong
Little Jewish Scholar
Does your child have any learning differences that would impact his or her experience at Sunday school?
*
Yes
No
Please explain briefly.
Does your child have any allergies or other medical conditions that the administration should be aware of?
*
Yes
No
Please elaborate.
Would you like to register another child?
Yes
No
First Name of Child # 2
Grade
Please Select
Preschool
K
1
2
3
4
5
Date of Birth
-
Month
-
Day
Year
Date
Current School
Hebrew Reading Proficiency
Please Select
None
Minimal
Can read but it takes a while
Can read well
Fluent
Previous Jewish Education
Please Select
None
Minimal
Some background
Little Jewish Scholar
Does your child have any learning differences that would impact his or her experience at Sunday school?
Yes
No
Please explain briefly.
Does your child have any allergies or other medical conditions that the administration of the school should be aware of?
Yes
No
Please elaborate.
Would you like to register another child?
Yes
No
First Name of Child # 3
Grade
Please Select
Preschool
K
1
2
3
4
5
Date of Birth
-
Month
-
Day
Year
Date
Current School
Hebrew Reading Proficiency
Please Select
None
Minimal
Can read but it takes a while
Can read well
Fluent
Previous Jewish Education
Please Select
None
Minimal
Some background
Little Jewish Scholar
Does your child have any learning differences that would impact his or her experience at the DATA Sunday Experience?
Yes
No
If yes, please explain briefly.
Does your child have any allergies or other medical conditions that the administration of the school should be aware of?
Yes
No
If yes, please elaborate.
Would you like to register a fourth child?
Yes
No
First Name of Child # 4
Grade
Please Select
Preschool
K
1
2
3
4
5
Date of Birth
-
Month
-
Day
Year
Date
Current School
Hebrew Reading Proficiency
Please Select
None
Minimal
Can read but it takes a while
Can read well
Fluent
Previous Jewish Education
Please Select
None
Minimal
Some background
Little Jewish Scholar
Does your child have any learning differences that would impact his or her experience at Sunday school?
Yes
No
If yes, please elaborate.
Does your child have any allergies or other medical conditions that the administration should be aware of?
Yes
No
If yes, please explain briefly.
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Almost Done....
Just a few more technical details.
Emergency Contact
*
Phone Number
*
Relationship with child(ren)
*
How did you hear about the DATA Sunday Experience?
Please Select
My child has previously attended DATA Sunday Experience
Referral from a rabbi or Jewish educator
Referral from a parent of a current DSX student
Social Media
Publicity event
Other
I hereby permit my child(ren) to participate in all school activities, and to join in class and school trips on and beyond school properties and use any transportation selected by the administration of the DATA Sunday Experience. By initialing this enrollment form, you are also granting us permission to use photos of your child(ren) in promotional activities for the DATA Sunday Experience.
*
I hereby give consent to the administration of the DATA Sunday Experience to take whatever medical measures they deem necessary for my child(ren), at my expense, in the event of a medical emergency.
*
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My Products
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Registration
$
950.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Payment Plan or Scholarship
You pay $200 now, and the remainder is charged later, as per your discussion with the office or Rabbi Zakon.
$
200.00
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