Religious School Registration 2020-2021

Registration 2020-2021
Welcome to our 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

* The following people are authorized to pick-up my child from Hebrew/Sunday school as applicable

Please list names of anyone authorized to pick-up your child.

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

STUDENT INFORMATION

* Total Number of children registering

* Child #1 First Name

* Child #1 Last Name

* Child #1 Grade for 2020-2021

Child #1 Hebrew Name

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

* Child #1 Date of Birth

MM/DD/YYYY

* Child #1 Pediatrician's Name and Phone #

* Child #1 Allergies/Medical Conditions

* Child #1 List any medications and doses currently being taken

* Child #1 People to contact in case parent can't be reached

Please list names and phone numbers for people to contact should we not be able to reach you.

* Child #1 Please provide any additional information about your child

Any learning, social, or behavioral issues that will help us offer the best possible school experience

* Child #1 School District, School name, and Town

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

Child #1 T-Shirt Size

Child #1 Preferred pronouns

* Child #1 I would like my child's new teacher to contact me and discuss their learning needs.

* Child #2 First Name

* Child #2 Last Name

* Child #2 Grade for 2020-2021

Child #2 Hebrew Name

* Child #2 Date of Birth

MM/DD/YYYY

* Child #2 Pediatrician's Name and Phone #

* Child #2 Allergies/Medical Conditions

* Child #2 List any medications and doses currently being taken

* Child #2 Please provide any additional information about your child

Any learning, social, or behavioral issues that will help us offer the best possible school experience

* Child #2 People to contact in case parent can't be reached

Please list names and phone numbers for people to contact should we not be able to reach you.

* Child #2 School District, School name, and Town

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

Child #2 T-Shirt Size

Child #2 Preferred pronouns

* Child #2 I would like my child's new teacher to contact me and discuss my child's learning needs.

* Child #3 First Name

* Child #3 Last name

* Child #3 Grade for 2020-2021

Child #3 Hebrew Name

* Child #3 Date of Birth

MM/DD/YYYY

* Child #3 Pediatrician's Name and Phone #

* Child #3 Allergies/Medical Conditions

* Child #3 List any medications and doses currently being taken

* Child #3 Please provide any additional information about your child

Any learning, social, or behavioral issues that will help us offer the best possible school experience

* Child #3 People to contact in case parent can't be reached

Please list names and phone numbers for people to contact should we not be able to reach you.

* Child #3 School District, School Name, and Town

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

Child #3 T-Shirt Size

Child #3 Preferred pronouns

* Child #3 I would like my child's new teacher to contact me and discuss my child's learning needs.

* Child #4 First name

* Child #4 Last name

* Child #4 Grade for 2020-2021

Child #4 Hebrew Name

* Child #4 Date of Birth

MM/DD/YYYY

* Child #4 Pediatrician's Name and Phone #

* Child #4 Allergies/Medical Conditions

* Child #4 List any medications and doses currently being taken

* Child #4 Please provide any additional information about your child

Any learning, social, or behavioral issues that will help us offer the best possible school experience

* Child #4 People to contact in case parent can't be reached

Please list names and phone numbers for people to contact should we not be able to reach you.

* Child #4 School District, School name, and Town

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

Child #4 T-Shirt Size

Child #4 Preferred pronouns

* Child #4 I would like my child's new teacher to contact me and discuss my child's learning needs.

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

* By checking this box, I acknowledge that school fees must be paid in full by December 31, 2020.

By checking this box, I acknowledge that school fees must be paid in full by December 31, 2020.

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 helping with the Mitzvah CorpI am interested in teaching an Enrichment (Chugim) class.Check all that apply!

I am interested in:

(Other)

Please click on here to read Temple Beth Israel's updated Vaccination Policy.

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

Fri, October 22 2021 16 Cheshvan 5782