2023/2024 Sha'arei Shalom Hebrew School Registration Form
Sha'arei Shalom Hebrew School Registration From 23/24 School Year
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*******Please complete separate forms for each child!******
What is your student's name, first, middle and last? *
What is your student's Hebrew name? *
What is your student's birthday (Month, Day and Year)? *
What grade did your child complete for Hebrew School last year (2022/2023)? *
What grade will your student be entering, fall of 2023? *
What is the first, last name and address of Guardian 1? *
What is the first, last name and address of Guardian 2?
What is the cell number and email for Guardian 1? *
What is the cell number and email for Guardian 2?
Class                      Class Structure               Member Rate/Non Member Rate:
Pre-K/Kindergarten     1x per month                 $250 (MR)     $450 (Non-Mem)
Kitah Alef (grade 1)     Every Sunday (2 hrs)  $600 (MR)      $900  (Non-Mem)
Kitah Bet (grade 2)      Every Sunday (2 hrs)   $770 (MR)  $1250   (Non-Mem)
Kitah Gimel (grade 3)     Every Sunday (3hrs)  $1030 (MR) $1500 (Non-Mem)
Kitah Dalet (grade 4)      Every Sunday (3 hrs)         $1030 (MR)                  N/A
Kitah Hey (grade 5)        Every Sunday (3 hrs)          $1030 (MR)                 N/A
Kitah Vav (grade 6)        Every Sunday (3 hrs)           $1030 (MR)                 N/A
Kitah Zion (grade 7)       Once per Month (3hrs)       $690 (MR)                  N/A

**** Learner's Service will meet for grades 3-7 every other week- subject to change, depending on the Rabbi's schedule!****
* For New students, receive $180.00 off Hebrew School Tuition if membership dues and tuition paid in full by first day of Hebrew School

*Take 10%off lowest rate for additional child.

*Rates do not include purchase of Hebrew School books.  Cost of books range from $20-60 per student.
Name of Child's Physician and and phone number? *
Child's allergies if any? *
Any Medical or Behavioral Issues you would like to tell us about? *
Emergency Contact Name and Number if parent is not available? *
Carpool Release- Names and the relationship to your child who has permission to drive your child home from Hebrew School.
Total Tuition Due via a check and Deposit Mailed to:
Sha'arei Shalom, PO Box 454, Ashland, MA 01721

****1.  A 100.00 per child, non-refundable deposit is due August 15th, 2023
****2.  50% of the total tuition is due by August 31st, 2023
****3.  Complete Tuition is due by September 15th,  2023
Thank you for completing the form.  Please reach out to Lisa Brown and Michele Lyman at: school@shaareishalom.org or Carolyn Fertig, president at: president@shaareishalom.org
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