Religious School Registration 2021-2022

Please read the information below and complete the applicable form(s) to enroll your child in Religious School for 2021-2022. Questions? Contact Karen Thompson

Brit Kehillah
Registration Policy
General Release

Religious School Registration 2021-2022

A current Registration Form must be on file in the Lifelong Learning Office for a student to be enrolled.
  • Full NameHebrew NameGrade as of 9-1-2021Name of Public/Private School 
  • Meets monthly on Sunday mornings from 9:30-11:00am. Parental attendance is required. $50/child with parent.
    Price: $50.00
  • Registration fee is $100 for each Kindergarten-7th grade student.
    Price: $100.00
  • Religious School Fee is $400 for each Kindergarten-7th grade student.
    Price: $400.00
  • Required for 3rd-6th Graders. The online offering will take place in small groups with student/teacher availability determining day/time OR you can choose the in person classes which will take place at the Temple on Wednesdays.(7th Graders DO NOT attend mid-week Hebrew.)
  • Program designed specifically for teens. Drop-In learning programs meet on Sundays and Wednesdays.
    Price: $180.00
  • Confirmation/Graducation (12th grade-covers portion of robes, pictures, flowers, reception) $360 per student.
    Price: $360.00
  • This amount will be billed to your Temple Shalom account.

Religious School & Youth Programs Health Form

A new Health/Medical Form must be submitted if there are any changes to student's health/medications or if the student is new to our Religious School. If appropriate, please complete the separate Health/Medical Form below. Once completed, this form will remain in effect throughout your child's religious school education. Notify the Lifelong Learning Office of any medical changes. The more information you share, the better we are able to ensure the health and safety of your child.
  • Click the + button to add a student.
    NameGrade as of 2020-2021 
  • Click the + button to add a parent/guardian
    NameCell Phone 
  • If the student(s) is/are covered by family/medical/hospital insurance, please complete this section.
    Carrier/Plan NameGroup NumberPolicy NumberCarrier AddressClaims/Phone Authorization NumberCo-Pay AmountName of InsuredRelationship to Student(s) 
  • Please describe the reaction and management of the reaction.
    Student(s) NameMedication AllergiesFood AllergiesOther Allergies 
  • Click the + button to add another child.
    Student(s) NameChild receives an IEP: YES/NOChild has learning differences: YES/NOTools that help my child learn 
  • Click on the + button to add another medication. Prescription medications must be in the original packaging bottle that identifies the prescribing physician, the name of the medication, the dosage, and the frequency of administration.
    Student's NameMedicationDosageSpecific times taken each dayReason for takingSide effects, if applicable 
  • Click on the + button to add another OTC medication. By submitting this form, I/We give permission for staff to dispense the following OTC medications (i.e., headache medicine, cough drops, decongestants, etc.) You must list all OTC medications that you approve. If a specific OTC medication is not listed above, staff will not dispense that medication.
    Student's nameOTC Medication approved 

Ruach--Youth Choir for 2nd-7th Graders

Come Make Music With Us! If you are in 2nd-7th grade, join Ruach, Temple Shalom’s Youth Choir, and sing songs, make friends and have fun! Choir will meet most Sundays immediately following Religious School. (A schedule will be provided) Submit this form when you submit your registration form.
  • Click the + button to add a student. Must be in 2nd through 7th grade to participate.
    NameGrade as of 9-1-2021 
  • Click the + button to add a parent/guardian.
    NameHome PhoneCell Phone 








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