Religious School Registration 2019-2020 - Form

Registration 2019-2020
Welcome to our new online school registration form. This form allows you to register BY FAMILY. Please fill out the form as completely as possible. In the first section, your information should be pre-populated. If it is not, please SIGN IN to ShulCloud. If you do not have a sign-in, please call the Temple office at 847-675-0951 to receive the login information.

FAMILY INFORMATION

* New / Returning Family

If you are a returning family, please update any information that may have changed over the last year.

Parent #1 First Name

Parent #1 Last Name

Parent #1 Mobile Phone

Parent #1 Email

Relationship to Student(s)

Parent #2 Last Name

Parent #2 First Name

Parent #2 Mobile Phone

Relationship to Student(s)

Parent #2 Email

Home Address for Student(s)

City

Home Phone

* Emergency Contact Information

Please provide the name and number of a local friend or family member who can be contacted in the case of emergency (if both parents are unreachable).

Authorized Pickup: The following people are approved to pick up my child from Sunday school or Hebrew school as applicable.

Identification may be required for pickup.

I am interested in help finding a Religious School and/or Hebrew school carpool.

STUDENT INFORMATION

* Student #1 First Name

* Last Name

* Grade for 2019-2020

Hebrew Name

Please enter their Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Date of Birth

MM/DD/YYYY

* School District, School name, and Town

For example, "District 69, Madison Elementary, Skokie"

T-Shirt Size

Preferred pronouns

Child's Doctor

Name and phone number

Allergies or medical conditions

Please type NA if not applicable.

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

I would like my child's new teacher to contact me and discuss my child's learning needs.

If no more children skip to next section

Student #2 First Name

Student #2 Last Name

* Grade for 2019-2020

Student #2 Hebrew Name

Date of Birth

MM/DD/YYYY

School District, School name, and Town

For example, "District 69, Madison Elementary, Skokie"

T-Shirt Size

Preferred pronouns

Child's Doctor

Name and Phone Number

Allergies or medical conditions

Please type NA if not applicable.

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

I would like my child's new teacher to contact me and discuss my child's learning needs.

If no more children skip to the next section

Student #3 First Name

Student #3 Last name

* Grade for 2019-2020

Hebrew Name

Date of Birth

MM/DD/YYYY

School District, School name, and Town

For example, "District 69, Madison Elementary, Skokie"

T-Shirt Size

Preferred pronouns

Child's Doctor

Name and Phone Number

Allergies and Medical Conditions

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

I would like my child's new teacher to contact me and discuss my child's learning needs.

If no more children skip to the next section

Student #4 First name

Student #4 Last name

* Grade for 2019-2020

Hebrew Name

Date of Birth

MM/DD/YYYY

School District, School name, and Town

For example, "District 69, Madison Elementary, Skokie"

T-Shirt Size

Preferred pronouns

I would like my child's new teacher to contact me and discuss my child's learning needs.

Child's Doctor

Name and Phone Number

Allergies and Medical Conditions

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience:

TUITION

Religious School (Grades Parent/Tot thru 7th Grade): $440
Hebrew School (Grades 3rd thru 7th Grade): $420
Gesher (Grades 8 and 9): $200
Afterschool Enrichment (Chugim)
(Classes such as science, baking, building, STEAM)
For Grades K thru 2 from 11:10 to 12:10p on Sundays: $240

* Number of Students in your household

Religious School - $440 PER STUDENT

Hebrew School - $420 PER STUDENT

Gesher - $200 PER STUDENT

AfterSchool Enrichment (Chugim) - $240 PER STUDENT

Total

INTERESTS AND OPPORTUNITIES
Temple Beth Israel has a rich landscape of opportunities for involvement. Everything from Parent Education, Interfaith conversations, and helping out at the Nosh cafe provide for a richer and more involved experience within the TBI Community.

I am interested in the YES Committee (Youth Education Services).I am interested in helping out at the Nosh Cafe occasionally.I am interested in serving as a Room Parent.I am interested in being contacted when there are Parent Education opportunities.I am interested in being contacted when there are Interfaith Family conversation opportunities.I am interested in marching in the upcoming Skokie July 4th parade.I am interested in helping with the Mitzvah CorpI am interested in teaching an Enrichment (Chugim) class.Check all that apply!

I am interested in:

(Other)

* By checking this box, I acknowledge that school fees must be paid in full by December 31, 2019.

By checking this box, I acknowledge that school fees must be paid in full by December 31, 2019.

* By checking this box, I attest that my child/ren is current with their immunizations according to State of Illinois guidelines.

By checking this box, I attest that my child/ren is current with their immunizations according to State of Illinois guidelines.Given the overriding Jewish value that puts a premium on the maintaining of health, including the taking of preventative measures, along with the clear public health based need to protect the community as a whole, we are requiring that all children enrolled at Temple Beth Israel be immunized in the manner determined by their pediatrician and other health professionals that is in concert with Illinois guidelines.