RELIGIOUS SCHOOL REGISTRATION
2024-2025

Welcome families!

Our goal is to create Jewish education that instills knowledge and a love of Judaism that will last a lifetime! We are committed to inspiring students of all ages to grow up with a greater sense of Jewish identity that is cultivated by a versatile Hebrew and Judaic curriculum, family education programs, life cycle events, and holiday celebrations, that nurtures and supports all students and their families throughout the school year. Most importantly, Religious School holds a special environment that feels like “community,” where both students and their families build lifelong friendships. Making friends and feeling connected to our Jewish community are an integral part of the Temple Beth Sholom Religious School philosophy. We are delighted that you have chosen to join us!

Jillian Post,
Religious School Director
Temple Beth Sholom

1st Day of Religious School - September 8th, 2024 | 9 AM - 12 PM

All Religious School Students must be temple members. Please contact the Temple Office for membership information.

Religious School Hours

Sunday — 9:00 AM - 12:00 PM
Grades K-7 & Madrichim Leadership Program

Monday — 4:00 PM - 5:30 PM
Grades 3-6 & Yad B'Yad Leadership Program

Tuition Fees Due Aug. 16th

Grades K-2 $800
Grades 3-6 $1200
Grade 7 $800
Grade 8-12 Madrichim & Yad B'Yad Programs $0

* Please select one of the following:

Please Select One- Select One -Payment in Full5 Month Payment Plan (Includes $250 Non-Refundable Payment Due Now)Mack Scholarship (Applications Available at Religious School Office, 702-804-1333 ext.139)If you selected a 5 month payment plan, Mack Scholarship, or need further information regarding tuition fees and payment, please contact Nicole in the Temple Office at (702) 804-1333 ext. 100

PARENT(S) OR GUARDIAN(S) INFORMATION

Primary Parent/Guardian First Name:

Primary Parent/Guardian Last Name:

Primary Parent/Guardian Email:

Primary Parent/Guardian Phone Number:

Primary Address Line 1:

Primary Address City:

Primary Address State:

Primary Address ZIP:

Secondary Parent/Guardian First Name:

Secondary Parent/Guardian Last Name:

Secondary Parent/Guardian Email:

Secondary Parent/Guardian Phone Number:

Is the Secondary Parent/Guardian's Address the same as the the Primary?

Secondary Parent/Guardian Address Line 1:

Secondary Parent/Guardian Address City:

Secondary Parent/Guardian Address State:

Secondary Parent/Guardian Address ZIP:

How many children are you registering for Religious School?

Please select the number of children you would like to register.

How many children are you registering for Religious School?

Please select the number of children you would like to register.

How many children are you registering for Religious School?

Please select the number of children you would like to register.

CHILD 1 INFORMATION

* First Name:

Middle Name:

* Last Name:

Hebrew Name:

* Grades 8-12 Leadership Programs:

* Age:

* Birthdate:

* Gender:

Child's Primary Address:

Religious School Grade:

Secular School Grade:

CHILD 1 MEDICAL INFORMATION

* Allergies to Medication(s) and/or Food(s)?

* Please list all prescription and/or non-prescription medications:

* Dietary Restrictions:

* Does your child have any special learning needs? If yes, please explain:

* Is there anything else you would like us to know about your child?

CHILD 2 INFORMATION

* First Name:

Middle Name:

* Last Name:

Hebrew Name:

* Grades 8-12 Leadership Programs:

Age:

* Birthdate:

* Gender:

Child's Primary Address:

Religious School Grade:

Secular School Grade:

CHILD 2 MEDICAL INFORMATION

* Allergies to Medication(s) and/or Food(s)?

* Please list all prescription and/or non-prescription medications:

* Dietary Restrictions:

* Does your child have any special learning needs? If yes, please explain:

* Is there anything else you would like us to know about your child?

CHILD 3 INFORMATION

* First Name:

Middle Name:

* Last Name:

Hebrew Name:

* Grades 8-12 Leadership Programs:

Age:

* Birthdate:

* Gender:

Child's Primary Address:

Religious School Grade:

Secular School Grade:

CHILD 3 MEDICAL INFORMATION

* Allergies to Medication(s) and/or Food(s)?

* Please list all prescription and/or non-prescription medications:

* Dietary Restrictions:

* Does your child have any special learning needs? If yes, please explain:

* Is there anything else you would like us to know about your child?

CHILD 4 INFORMATION

* First Name:

Middle Name:

* Last Name:

Hebrew Name:

* Grades 8-12 Leadership Programs:

Age:

* Birthdate:

* Gender:

Child's Primary Address:

Religious School Grade:

Secular School Grade:

CHILD 4 MEDICAL INFORMATION

* Allergies to Medication(s) and/or Food(s)?

* Please list all prescription and/or non-prescription medications:

* Dietary Restrictions:

* Does your child have any special learning needs? If yes, please explain:

* Is there anything else you would like us to know about your child?

MEDICAL INFORMATION

STUDENTS WILL NOT BE ALLOWED TO ADMINISTER PRESCRIPTION OR NON-PRESCRIPTION MEDICATION(S) WITHOUT WRITTEN PERMISSION FROM A PARENT OR GUARDIAN.

MEDICAL AND INSURANCE INFORMATION

* Physician's Name:

* Physician's Phone Number:

* Medical Insurance Company:

* Medical Insurance Company Phone Number:

* Name of Policy Holder:

* Policy Group Number:

* Insurance Company Address:

MEDICAL AND INSURANCE INFORMATION (additional information if necessary)

Physician's Name:

Physician's Phone Number:

Medical Insurance Company:

Medical Insurance Company Phone Number:

Name of Policy Holder:

Policy Group Number:

Insurance Company Address:

EMERGENCY CONTACTS

In the event of an emergency, every effort will be made to contact the parents/guardian. Please provide additional emergency contacts if a parent/guardian is unreachable:

* Emergency Contact Name:

* Emergency Contact Relationship to Student:

* Emergency Contact Number:

Emergency Contact Name:

Emergency Contact Relationship to Student:

Emergency Contact Number:

EMERGENCY CARE

If an urgent or emergent medical incident occurs during the period of my child's official participation in the Judy and Ronald Mack School for Religious School, I hereby grant permission for my child to be transported by private vehicle or ambulance to an appropriate medical facility and to be treated by qualified medical authorities as deemed necessary.

* Primary Parent/Guardian Name (Print):

* Primary Parent/Guardian Signature:

Please type your Full Name as a Signature.

* Today's Date:

Additional Information/Notes:

CLASSROOM PARENT VOLUNTEERS

* Would you like to become a Classroom Parent Volunteer?

Please Select OneYesNo

Social Media/Marketing/Video/News/Publications/and Website Release Form

I give permission for my child's photograph or video image to be published in any form of media, via print or electronic (e.g video, news, publications, internet, social media, marketing materials, synagogue website)I DO NOT give permission for my child's photograph or video image to be published in any form of media, via print or electronic (e.g video, news, publications, internet, social media, marketing materials, synagogue website)

Total Amount Due Today:

Alot Hashachar	12:41am
Earliest Tallit	1:04am
Netz (Sunrise)	1:42am
Latest Shema	4:43am
Zman Tefillah	5:45am
Chatzot (Midday)	7:46am
Mincha Gedola	8:16am
Mincha Ketana	11:18am
Plag HaMincha	12:33pm
Shkiah (Sunset)	1:49pm
Tzeit Hakochavim	2:20pm
More >>

Religious School Registration 2024-2025

RELIGIOUS SCHOOL REGISTRATION
2024-2025

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Religious School Registration 2024-2025

RELIGIOUS SCHOOL REGISTRATION 2024-2025

Shabbat Day

Candle Lighting

Havdalah

Erev Sukkot

Join Our Mailing List

Why ShulCloud?

Zmanim

RELIGIOUS SCHOOL REGISTRATION
2024-2025