Re-Registration Form

Child #1 Name (*)

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School (*)

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Grade Entering (*)

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Medical Information (medications, medical conditions, special education needs)

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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)? (*)

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Child #2 Name

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School 2nd Child

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Grade Entering 2nd Child

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Medical information for 2nd child (medications, medical conditions, special education needs)

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Is 2nd child born of a Jewish mother or converted according to Jewish law, i.e. mikvah and/or brit milah (bris)? (*)

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Child #3 Name

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School 3rd Child

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Grade Entering 3rd Child

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Medical information for 3rd child (medications, medical conditions, special education needs)

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Is 3rd child born of a Jewish mother or converted according to Jewish law, i.e. mikvah and/or brit milah (bris)? (*)

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Do you grant permission for field trips and photography/videotaping? (*)

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Emergency phone numbers during school time (*)

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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 other:

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* required field

Parent email (*)

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Anti-Spam Captcha

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