Student Information

Full Name of Child (*)

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Hebrew Name

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Date of Birth (*)

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Street Address (*)

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City, State ZIP (*)

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Home Phone (*)

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Name of Secular School (*)

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Grade or Grade Entering (*)
Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
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Name of Previous Hebrew School

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Previous Hebrew School Grade Completed

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Is child born of a Jewish mother or converted according to Jewish law, i.e. mikvah and/or brit milah (bris)? (*)
YesNoNot Sure
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Family Information

Parent 1

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Parent 2

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Address (if different from above)

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Home Phone (if different from above)

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Siblings’ Names, Ages, and Grades in Secular School

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Email Address (*)

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Temple Beth El Member? (*)
YesNo
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PARENT INVOLVEMENT. Yes! I’d like to volunteer in the Hebrew School! Please call me for the following:
assisting teachers in the classroom
planning and coordinating a special activity
working on Shabbat dinners
helping with fund raising activities
serving as a class parent
being a guest speaker or activity leader
providing transportation for field trips
helping in the office on Sundays
substitute teacher
serve on School Committee
other

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If interested in other parent involvement:

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* required field

type these 4 characters

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