Hebrew School Registration 5784

Hebrew School Enrollment Form 2024-2025 (5785)
Parent 1*

First NameLast Name
Parent 2

First NameLast Name
Mailing Address*

Street or PO BOX

Street Address Line 2

CityState

Zip Code
Best Phone Number*

Area CodePhone Number
2nd Phone Number

Area CodePhone Number
Email #1*
Email #2
example@example.com
Child #1 Full Name*

First NameLast Name
Hebrew Name
Age*
Current School Grade*
Child #2 Full Name

First NameLast Name
Hebrew Name
Age
Current School Grade
Child #3 Full Name

First NameLast Name
Hebrew Name
Age
Current School Grade
I/We give the people stated below permission to pick up my child from Religious School.
Person 1

First NameLast Name
Person 1 Phone

Area CodePhone Number
Person 2

First NameLast Name
Person 2 Phone

Area CodePhone Number
Religious School Activity Fee
- $50 per child (memebers)
- $500 per child (nonmembers)
PAY ONLINE HERE
CLICK BELOW or print and mail to:
Beth Israel Congregation
PO Box 244
Bath, ME 04530
Should be Empty:

Hebrew School Enrollment Form 2024-2025 (5785)