Hebrew School Application | Religious School

PLEASE NOTE: THIS IS THE HEBREW SCHOOL REGISTRATION FORM.

FOR RELIGIOUS SCHOOL REGISTRATION, PLEASE CLICK HERE.

**YOU WILL NEED TO FILL OUT A REGISTRATION FORM FOR EACH CHILD YOU ARE RGISTERING.

Hebrew School Registration Form

Parent/Guardian First Name

Parent/Guardian Last Name

Phone

Street Address

Street Address Line 2

City

State

Zip Code

Child's Name

Birthday

The term affiliation means you have a registered membership and are

current in your financial obligation with either Temple Beth Tikvah, Congregation Shalom Bayit or Chabad.

Child's Doctor

Emergency Contact Name

Doctor's Phone Number

Emergency Contact Phone

Emergency Contact Relationship

Does your child have any allergies, medical issues or food restrictions?

yes

If yes, please list below:

Is there anything you want your child's teacher to know about them or their learning style?

yes

If yes, please explain below:

I give my permission to the School to use my information in a School Directory that will be distributed to School families and staff.

yes

By registering my child and signing below, I confirm that I will mail a check payable to Jewish Community Religious School for the Hebrew School registration fee upon completion of this form to PO Box 7472, Bend, OR 97708.

Your Signature

Thank you! We'll be in touch.