Student Information

Full Name of Child (*)

Invalid Input
Hebrew Name

Invalid Input
Date of Birth (*)

Invalid Input Format DD/MM/YYYY
Street Address (*)

Invalid Input
City, State ZIP (*)

Invalid Input
Home Phone (*)

Invalid Input
Name of Secular School (*)

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

Invalid Input
Previous Hebrew School Grade Completed

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

Family Information

Parent 1

Invalid Input
Parent 2

Invalid Input
Address (if different from above)

Invalid Input
Home Phone (if different from above)

Invalid Input
Siblings’ Names, Ages, and Grades in Secular School

Invalid Input
Email Address (*)

Invalid Input
Temple Beth El Member? (*)
YesNo
Invalid Input
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

Invalid Input
If interested in other parent involvement:

Invalid Input

* required field

type these 4 characters

  Refresh
Invalid Input