TBE Religious School Registration for 2023-24

*ShulHouse Rock and Joint Religious School Registration Form***

All TBE Families should enroll their children in Temple Beth El’s ShulHouse Rock Program

Families may enroll each child in ShulHouse Rock AND in the Joint Religious School.
Joint Religious School Classes will be held at
Temple Emanu El.
(Note: You must be a member-in-good standing at Temple Beth El in order to enroll in the Joint Religious School.
Enrollment in ShulHouse Rock is also required.).
OR

If not enrolling in Religious School, families may enroll each child in ONLY ShulHouse Rock, which includes Family Shabbat and Holiday Programming for all ages here at Temple Beth El.

To enroll in ShulHouse Rock programming ONLY, click here.

To enroll in ShulHouse Rock AND to enroll your child in the Joint Religious School, please complete the form below.

You will need to complete a separate form for each child you are registering

* Email Address

* Are you a member of Temple Beth El?

You MUST be a member of Temple Beth El to enroll in Religious School

Yes, I am a member.

Non-Members enrolling in ShulHouse Rock Only Register by clicking on the link.

ShulHouse Rock Only Registration Form

Parent Information

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Cell Phone

Parent 1 Employer

Parent 1 Business Phone

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Cell Phone

Parent 2 Employer

Parent 2 Business Phone

* Address

* City

* Zip

Photo Opt Out

Photo Opt OutIf you DO NOT wish your child(ren)'s picture to appear as part of a group in Temple Beth El's orTemple Emanu-El's communications or publications, please check this box.

Emergency Contacts

* Emergency Contact Name

* Emergency Contact's Relationship to Student

* Emegency Contact Phone 1

Emergency Contact Phone 2

* Emergency Contact Email

Emergency Contact Name

Emergency Contact's Relationship to Student

Emegency Contact Phone 1

Emergency Contact Phone 2

Emergency Contact Email

Carpool Permission

Please check here if you are interested in carpooling with other families

Please list everyone who has permission to pick up your child in carpool.

Please note we may ask for identification

Please list anyone who is prohibited from picking up your child and their relationship.

Please note if the person you list is the child's parent, we may require official documentation..

Student Information

* Student First Name

* Student Last Name

Student Hebrew Name

* Student prefers to be called

* Student Birthdate

* Secular School attending Fall 2023

* Grade in secular school - Fall 2023

* Religious School Grade Fall 2023

* Student Resides With:

If other please specify

Student Email

All emails sent to students will be cc'd to parent

Please provide any additional information about your child regarding learning, social, or behavior issues to help us offer the best possible school experience:

Medical Info and Release

* Medical Release & Liability

Medical Release & Liability I hereby grant permission for my child(ren) to participate in all Temple youth programs, activities and events and do release Temple Beth El and its representatives from all liability arising out of my child’s participation in such activity. In addition, I, the undersigned parent/guardian of the above child(ren), do further certify that my child(ren) is physically able to participate in such activity. By selecting 'I agree' below and by enrolling your child(ren) in Religious School at Temple Emanu-El via Temple Beth El, you indicate your agreement to the above terms and conditions

Does your child take any prescriptions or have any medical conditions we should be aware of?

If you checked other in Allergies, please specify:

If your child carries an EpiPen, please make sure the teachers and staff are aware of where it can be found.

Payment Information

Amount Due for this Registration

Amount due for this registration. You must fill out and pay for each child separately. After you submit the first registration, you'll create a new registration form for each additional child.

As a reminder, you will need to register each child separately.

Things to remember:

TBE dues for 23/24 must be paid or a payment plan set up by August 10, 2023.
Enrollment in the Joint Religious School is not confirmed until the TBE Finance Office verifies dues payment.
Religious School fees are due in full at time of enrollment.*

* Contact the office if you have questions about this policy.

Mon, September 25 2023 10 Tishrei 5784