TBE Religious School Registration for 2024-25

You will need to fill out a separate form for each child you are registering. Save the date for a Religious School kick off on August 25th. You will need to have your dues paid or a payment plan in place by that date.

* Email Address

* Are you a member of Temple Beth El?

You MUST be a member of Temple Beth El to enroll in Religious School

* Yes, I am a member.

Non-members may not enroll in our Joint Religious School. Use the ShulHouse Rock Only registration form in the email, please.

Parent Information

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Cell Phone

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Cell Phone

* Address

* City

* Zip

Photo Opt Out

Photo Opt OutIf you DO NOT wish your child(ren)'s picture to appear as part of a group in Temple Beth El's orTemple Emanu-El's communications or publications, please check this box.

Emergency Contact

* Emergency Contact Name

* Emergency Contact's Relationship to Student

* Emergency Contact Phone 1

* Emergency Contact Email

Carpool Permission

Please list everyone who has permission to pick up your child in carpool.

Please note we may ask for identification

Please list anyone who is prohibited from picking up your child and their relationship to your child.

Please note if the person you list is the child's parent, we may require official documentation..

Student Information

* Student First Name

* Student Last Name

* Student prefers to be called

Student Hebrew Name

* Student Birthdate

* Secular School attending Fall 2024

* Religious School Grade Fall 2024

* Student Resides With:

If other, please specify

Student Email

All emails sent to students will be cc'd to parent

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

Medical Info and Release

* Medical Release & Liability

Medical Release & Liability I hereby grant permission for my child(ren) to participate in all Temple youth programs, activities and events and do release Temple Beth El and its representatives from all liability arising out of my child’s participation in such activity. In addition, I, the undersigned parent/guardian of the above child(ren), do further certify that my child(ren) is physically able to participate in such activity. By selecting 'I agree' below and by enrolling your child(ren) in Religious School at Temple Emanu-El via Temple Beth El, you indicate your agreement to the above terms and conditions

Does your child take any prescriptions or have any medical conditions we should be aware of?

If you checked other in Allergies, please specify:

If your child carries an EpiPen, please make sure the teachers and staff are aware of where it can be found.

Payment Information

Amount Due for this Registration

Amount due for this registration. You must fill out and pay for each child separately. After you submit the first registration, you'll create a new registration for each additional child.

As a reminder, you will need to register each child separately. Three children = three completed forms.

Things to remember:

TBE dues for 24/25 must be paid or a payment plan set up by August 10, 2023.
Enrollment in the Joint Religious School is not confirmed until the TBE Finance Office verifies dues payment.
Religious School fees are due in full at time of enrollment.*

* Contact the office if you have questions about this policy.

Mon, July 15 2024 9 Tammuz 5784