Congregation Shalom School Program(s) Registration 5781 (2020/2021)

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Child's Name *

Your Child's Religious School Grade: (This normally corresponds with your child's secular school grade. Religious School will meet on Sunday mornings, virtually from 9:30-10:45am. Please note that grades K4-3 will be engaged in Family Education for Religious School). *

10 (Confirmation)

11/12 (Post-Confirmation)

Does your family wish to opt-out of zoom? *

No -- Count us in for the Zoom Sunday morning sessions.

Yes. We wish to receive the Family Learning Kit full of materials (for K4-3rd Graders... could also be for 4th graders!)

Yes. My child (4th-7th Grade) expects to be contacted by Rabbi Jenn to set up an independent study.

Your child's preferred pronouns *

she/her/hers

he/him/his

Other:

Please list your child's birthday (we use this information to honor your child by acknowledging their special day). *

YYYY

Will this be your child's first year attending our school program(s)? *

Yes

Parent/Guardian #1 Name *

Parent/Guardian #1 Preferred Phone Number *

Parent/Guardian #1 Email Address *

Parent/Guardian #2 Name

Parent/Guardian #2 Preferred Phone Number

Parent/Guardian #2 Email Address

Which parent(s)/guardian(s) should be emailed regularly with regard to information from our school? *

Parent/Guardian #1

Parent/Guardian #2

Both

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