2024-25 Religious School Registration - Form

Section A: Family Status

* Is your family new to our school?

Please Select OneNoYes

* Are you a Member or becoming a Member of Adat Chaverim?

Please Select OneNoYes

Section B: Family Contact Information

* First Name (Primary)

* Last Name (Primary)

* Email (Primary)

* Phone (Primary)

* Relationship to Student(s) (Primary)

* Street Address (Primary)

Street Address Line 2 (Primary)

* City (Primary)

* State (Primary)

* ZIP (Primary)

* Is there a secondary contact?

Please Select OneNoYes, at the same address as the primary contactYes, but at a different address than the primary contactIf there is a secondary contact, all emails and mailings will go to both contacts. In case of urgent need, the primary contact will be notified first

* First Name (Secondary)

* Last Name (Secondary)

* Email (Secondary)

* Phone (Secondary)

* Relationship to Student(s) (Secondary)

* Street Address (Secondary)

Street Address Line 2 (Secondary)

* City (Secondary)

* State (Secondary)

* ZIP (Secondary)

* Emergency Contact 1 Name

* Emergency Contact 1 Phone

* Emergency Contact 1 Relationship

* Emergency Contact 2 Name

* Emergency Contact 2 Phone

* Emergency Contact 2 Relationship

Section C: Student Enrollment Information

Student 1 Information

* Student 1 First Name

* Student 1 Last Name

* Student 1 Birthdate

* Student 1 Hebrew Name

Student 1 Nickname (if applicable)

Student 1 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 1 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 1 Grade in Religious School

* Student 1 Secular School Name

* Student 1 Secular School District

Student 2 Information

* Student 2 First Name

* Student 2 Last Name

* Student 2 Birthdate

* Student 2 Hebrew Name

Student 2 Nickname (if applicable)

Student 2 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 2 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 2 Grade in Religious School

* Student 2 Secular School Name

* Student 2 Secular School District

Student 3 Information

* Student 3 First Name

* Student 3 Last Name

* Student 3 Birthdate

* Student 3 Hebrew Name

Student 3 Nickname (if applicable)

Student 3 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 3 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 3 Grade in Religious School

* Student 3 Secular School Name

* Student 3 Secular School District

Student 4 Information

* Student 4 First Name

* Student 4 Last Name

* Student 4 Birthdate

* Student 4 Hebrew Name

Student 4 Nickname (if applicable)

Student 4 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 4 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 4 Grade in Religious School

* Student 4 Secular School Name

* Student 4 Secular School District

Learning Commitment

At the Adat Chaverim Religious School, we are committed to Lifelong Jewish learning and aim to provide this foundation to all students. In order to become B'nei Mitzvah at Adat Chaverim, we expect that students in grades 3 through 7 will attend a meaningful Jewish educational program at Adat Chaverim. Regular attendance at Sunday Religious School and Hebrew School is expected in order to meet this requirement. If you have any issues or concerns about this policy please contact the Religious School Director to discuss.

* Learning Commitment: Enter your name below

By typing my name, I confirm I have read, understand and agree to the above.

Media Release

From time to time, while attending class or other special events, your child’s photo may be taken. We use these photos in our synagogue newsletters, on our synagogue website, on our Facebook pages, and in other publicity materials.

* Media Release

Please Select OneI grant permission for my child's image to be usedI do not grant permission for my child’s image to be used

Section E: Congregation Community

You may have noticed that at the top of the form we begin with family information. This is intentional. The work of raising and educating Jewish children cannot be done in the school alone, but is a project of the school, the family and the community. You are not just registering your child(ren) for school today, but in fact your entire family. When you come in the building and spend time learning and volunteering with us, you make a powerful statement to your children that Jewish learning is a lifelong process and that we are all on the same team in creating these experiences for them. Don’t underestimate the subtle power of this statement!

We have several days during the course of the year (see calendar for dates) on which parents can participate in programs with students inside and outside of the Temple. Please plan to join us on these days.

In addition to those opportunities to participate we are in need of regular volunteers to make our school work. Would you consider supporting our school in an ongoing role or a limited engagement?

Ongoing Opportunities (check all that apply)

Room ParentSubstitute TeachingPARTY (Teen Group) ChaperoneChesed Project Planning

Limited Engagements (check all that apply)

ISJL Education Fellow Host FamilyThe Great Sukkah Sweep UpNew Student Consecration PlanningPurim Carnival PlanningPurim Carnival Day Of SupportClass Mitzvah/Chesed Project PlanningPARTY Siyyum -12th Grade Graduation Service

Any other skills or talents you might be willing to share?

Section D: Payment Information

* Do you require financial aid?

Please Select OneNoYesThere are many impediments to Jewish education but finances should never be one. We ask that every family commits to some financial contribution. We understand that some families might require tuition assistance and we are very happy to discuss financial aid options. By selecting 'yes', you are choosing to discuss your payment ability in a confidential meeting with the Temple Treasurer.
Please contact the Temple Treasurer, at treasurer@adatchaverim.org.

Financial Aid Follow-up: I understand and will contact the Treasurer

Optional Donation to Religious School Fund

Please consider making an additional donation to the Religious School Fund.

Total Amount

NOTE: If you wish to set up payments starting at a later date using a credit card or E-Check that you already have on file, you must be logged in to your ShulCloud member account before clicking on the 'SUBMIT' button below. If you see a 'Login' pulldown at top right of this browser window instead of 'Welcome your-name', then you are not logged in. If you submit without being logged in to your account, your only option will be to submit payments beginning today by credit card.