Temple Sinai Hebrew School Registration
2021-2022 School Year
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Email *
Student's Name *
Home Address *
Public School *
Grade *
Age *
Birthdate *
MM
/
DD
/
YYYY
Hebrew Name (if you know it/they have one) *
Parent/Guardian 1 Name *
Parent/Guardian 1 Phone # *
Parent/Guardian 1 Email *
Parent/Guardian 2 Name
Parent/Guardian 2 Phone #
Parent/Guardian 2 Email
Who will be the people allowed to pick up your child? (We will not release your child to anyone else unless permission is granted from the list) *
If you cannot be reached in case of emergency, give the name of a person to be notified *
Emergency Contact Phone # *
Emergency Contact Email *
Please list any medical conditions or allergies we should be made aware of *
In the event of a medical emergency, I authorize the staff at Temple Sinai to obtain emergency medical treatment for my child. I understand that I will be contacted immediately. *
We sometimes take photos and videos of your child. Do we have permission to post these media on our website, newsletter or social media platforms? *
(If your child is a new student) What has been your child's experience with learning about Judaism before this? *
Click the boxes of any other parts of Temple Sinai you might be interested in participating in or hearing more about: *
Required
Hebrew School sessions occur on Sunday (in-person) 9:00-11:15 AM and Wednesday (virtual) 4:00-5:15 PM. Do you see any problems arising in your child's attendance we should be aware of? *
What other information about your child or family should we know about to better facilitate your child's learning process? (For example: Special Needs or any other challenges). *
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