Hebrew School Registration

Hebrew School Registration Form 2023-2024

Tot Program: Newborn - 5 Yrs
Hebrew School: Pre K - 7th Grade
Hebrew High School: 8th Grade - 12th Grade

* Current Member of Bnai Israel

YesNo

* Adult 1: First Name

* Adult 1: Last Name

* Adult 1: Phone Number

* Adult 1: Email

* Adult 1: Address Line 1

Adult 1: Address Line 2

* Adult 1: City

* Select State

* Adult 1: Zip Code

Adult 2: First Name

Adult 2: Last Name

Adult 2: Phone Number

Adult 2: Email

Use same address as Adult 1

Yes

Adult 2: Address Line 1

Adult 2: Address Line 2

Adult 2: City

Select State

Adult 2: Zip Code

* Emergency Contact Name (Other than Adult 1 or 2)

Emergency Contact Phone Number

Relationship to Child(ren)

Student Information

* Child 1: First Name

* Child 1: Last Name

Select program to enroll

Tot ProgramHebrew SchoolHebrew High School

* Child 1 - Birthdate

* Child 1: Age

Child 1: Grade (2023-2024 School Year)

Please describe any relevant medical (including food allergies), developmental or learning conditions concerning your child, so that we may best meet your child's needs.

Child 2: First Name

Child 2: Last Name

Select program to enroll

Tot ProgramHebrew SchoolHebrew High School

Child 2: Birthdate

Child 2: Age

Child 2: Grade (2023-2024 School Year)

Please describe any relevant medical (including food allergies), developmental or learning conditions concerning your child, so that we may best meet your child's needs.

Child 3: First Name

Child 3: Last Name

Select program to enroll

Tot ProgramHebrew SchoolHebrew High School

Child 3: Birthdate

Child 3: Age

Child 3: Grade (2023-2024 School Year)

Please describe any relevant medical (including food allergies), developmental or learning conditions concerning your child, so that we may best meet your child's needs.

Child 4: First Name

Child 4: Last Name

Select program to enroll

Tot ProgramHebrew SchoolHebrew High School

Child 4: Birthdate

Child 4: Age

Child 4 - Grade (2023-2024 School Year)

Please describe any relevant medical (including food allergies), developmental or learning conditions concerning your child, so that we may best meet your child's needs.

Consent

* Medical Emergency: I grant authorization and consent for Bnai Israel Congregation to summon professional emergency personnel to attend, transport and treat my student, and to issue consent for any medical treatment. I agree to assume financial responsibility for all expenses of such care.

Please provide full printed name

* By registering for school, I give permission for Bnai Israel Hebrew School to use my student's images for publication in Hebrew School related emails, internal congregational newsletter, on our website, Facebook, Instagram, unless I specify below:

Yes, I give permission to use imageDo not use image at allUse image ONLY on the following platforms

If limited use of Student's image, please indicate the platforms that may be included:

Please provide any additional comments, if needed.

Parent Volunteers are critical to the success of our Hebrew School

Are you interested in being a Hebrew School Volunteer?

Yes, I will volunteerNo, I am unable to volunteer

Areas of volunteer

Please describe ways in which you are able to volunteer and any special skills or areas of interest. (e.g., Hebrew speaking, Cooking, Crafts, Chaperone, etc..)

Payment Information

Hebrew School Fees for 2023-2024:

BIC Member - First Child enrolled: $350
BIC Member - Second Child enrolled: $200
BIC Member - More than 2 children enrolled: No additional charge
BIC Member/Non Member - Tot Program Family: No Charge (donation suggested)

BIC Members are all eligible for generous scholarships from the Janice Kingoff Jewish Education Fund. Please contact Rabbi Bender for additional information, if scholarship assistance is needed

Non-Member - $550 per child

All tuition is due on the first day of school. If needed, a payment schedule may be set up in ShulCloud for up to 8 months or May 2024, which ever comes first.

* Number of children enrolled

Number of Children Enrolled

* Total Registration Fees

No Charge - Tot Program (Per Family)$350 - BIC Member - One Child$550 - BIC Member - 2 or more children$550 - Non-Member - Per ChildRequest Scholarship Discussion (If requesting scholarship discussion, do not select any of the other registration fees))

Tot Program Donation, if applicable (Please select Hebrew School - Children)

Amount

Total Payment Due

Tuition is due on the first day of school. In lieu of payment in full, a payment schedule can be setup online with a credit card (3% fee) or an eCheck (1% fee). You can access this by logging into your account and go to the donate section. Check Hebrew School - Children and continue with your personal information.

Hebrew School Registration 2023 - 2024

Welcome to Bnai Israel Hebrew School registration. This registration form is to be used for all students enrolling in the Tot Program, Hebrew School and Hebrew High School.