Sha'are Shalom Religious School Registration 2022-23
Please register each student in K-12 who will be part of our religious school program (including Madrichim, N'tivot and Confirmation students). If you need assistance please contact Jessica Wadler, Director of Education and Youth Activities by email edu_dir@shaare-shalom or cell 571-970-8910.
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Religious School Program Offerings 2022-2023
Student One Last Name *
Student One First Name *
Student One Hebrew Name
Date of Birth (mm/dd/yyyy) *
Is your child Jewish by birth? (Note: according to Conservative Jewish law, a child is Jewish by birth if the mother is Jewish) *
If "No" to the previous question, has your child been formally converted to Judaism?
Clear selection
Grade in secular school (as of August 2022). *
Name of School Child attends (as of 08/22). If your child is being homeschooled, please write "Homeschool". *
Does your child have an IEP or 504 at school? If "Yes", we ask that you please share a copy with us. *
I hereby give permission to Congregation Sha’are Shalom Religious School to photograph my child (and all subsequent children listed on this registration)  understanding the photos may be used in media or advertising as well as community newsletters and communications. Type your full name below to indicate agreement. If you do NOT agree, please type "NO". 
 *
Please take a moment to tell us what are your family's goals for your child's Jewish education and how we can help you achieve them. *
We are ready to bring back IN PERSON midweek learning for our 4th, 5th, 6th and 7th grade students! We are committed to maintaining small group sizes and flexible scheduling to meet family needs. We will have two days and two hours each day to choose from. Specific day and time requests and assignments will be created closer to Fall to best accommodate for teacher and student schedules. We will maintain the option for virtual  lessons or alternative plans on an as needed basis and there is an a choice to indicate that need below.   Please select one option for midweek Hebrew. *
Any additional information you would like to share?
Student Two Last Name
Student Two First Name
Student Two Hebrew Name
Date of Birth (mm/dd/yyyy)
Is your child Jewish by birth? (Note: according to Conservative Jewish law, a child is Jewish by birth if the mother is Jewish).
Clear selection
If "No" to the previous question, has your child been formally converted to Judaism?
Clear selection
Grade in secular school (as of August 2022).
Clear selection
Name of school child attends (as of 08/22). If your child is being homeschooled, please write "Homeschool".
Does your child have an IEP or 504 at school? If "Yes", we ask that you please share a copy with us.
Clear selection
Please take a moment to tell us what are your family's goals for your child's Jewish education and how we can help you achieve them.
We are ready to bring back IN PERSON midweek learning for our 4th, 5th, 6th and 7th grade students! We are committed to maintaining small group sizes and flexible scheduling to meet family needs. We will have two days and two hours each day to choose from. Specific day and time requests and assignments will be created closer to Fall to best accommodate for teacher and student schedules. We will maintain the option for virtual  lessons or alternative plans on an as needed basis and there is an a choice to indicate that need below.   Please select one option for midweek Hebrew.
Clear selection
Any additional information you would like to share?
Student Three Last Name
Student Three First Name
Student Three Hebrew Name
Date of Birth (mm/dd/yyyy)
Is your child Jewish by birth? (Note: According to Conservative Jewish law, a child is born Jewish if the mother is Jewish)
Clear selection
If "No" to the previous question, has your child been formally converted to Judaism?
Clear selection
Grade in secular school (as of August 2022).
Clear selection
Name of school child attends (as of 08/22). If your child is being homeschooled, please write "Homeschool".
Does your child have an IEP or 504 at school? If "Yes", we ask that you share a copy with us.
Clear selection
Please take a moment to tell us what are your family's goals for your child's Jewish education and how we can help you achieve them.
We are ready to bring back IN PERSON midweek learning for our 4th, 5th, 6th and 7th grade students! We are committed to maintaining small group sizes and flexible scheduling to meet family needs. We will have two days and two hours each day to choose from. Specific day and time requests and assignments will be created closer to Fall to best accommodate for teacher and student schedules. We will maintain the option for virtual  lessons or alternative plans on an as needed basis and there is an a choice to indicate that need below.   Please select one option for midweek Hebrew.
Clear selection
Any additional information you would like to share?
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