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2019-2020 (5780) Religious School Registration




(If your child has his/her own phone)

(If your child has his/her own email)

Medical and Specific Needs



Please list any FOOD ALLERGIES. We ask that you also submit an allergy action report or download an Allergy Information form from the UH website.




Yes, the director will contact you to discuss
No

Special Considerations

Notes about special considerations: In the forming of classes and assigning teachers, we have to consider the needs of each student in the class and the class dynamics as a whole. Therefore, we cannot guarantee requests will be granted. For each student, we will consider two single requests. (Each name of a friend or teacher counts as a single request.) Please place these in order of importance.

(If your child has his/her own phone)

(If your child has his/her own email)

Medical and Specific Needs



Please submit vaccination report if not already on file in the school office.

Please list any FOOD ALLERGIES. We ask that you also submit an allergy action report or download an Allergy Information form from the UH website.




Yes, the director will contact you to discuss
No

Special Considerations

Notes about special considerations: We believe that both the social and educational needs of our students are essential to their success in and enjoyment of learning about Judaism. Thus, we will accept requests for special consideration. However, in the forming of classes and assigning teachers, we have to consider the needs of each student in the class and the class dynamics as a whole. Therefore, we cannot guarantee requests will be granted, but for those requests into consideration while putting our classes together. For each student, we will consider two single requests. (Each name of a friend or teacher counts as a single request.) Please place these in order of importance.

(If your child has his/her own phone)

(If your child has his/her own email)

Medical and Specific Needs



Please submit vaccination report if not already on file in the school office.

Please list any FOOD ALLERGIES. We ask that you also submit an allergy action report or download an Allergy Information form from the UH website.




Yes, the director will contact you to discuss
No

Special Considerations

Notes about special considerations: We believe that both the social and educational needs of our students are essential to their success in and enjoyment of learning about Judaism. Thus, we will accept requests for special consideration. However, in the forming of classes and assigning teachers, we have to consider the needs of each student in the class and the class dynamics as a whole. Therefore, we cannot guarantee requests will be granted, but for those requests into consideration while putting our classes together. For each student, we will consider two single requests. (Each name of a friend or teacher counts as a single request.) Please place these in order of importance.

(If your child has his/her own phone)

(If your child has his/her own email)

Medical and Specific Needs



Please submit vaccination report if not already on file in the school office.

Please list any FOOD ALLERGIES. We ask that you also submit an allergy action report or download an Allergy Information form from the UH website.




Yes, the director will contact you to discuss
No

Special Considerations

Notes about special considerations: We believe that both the social and educational needs of our students are essential to their success in and enjoyment of learning about Judaism. Thus, we will accept requests for special consideration. However, in the forming of classes and assigning teachers, we have to consider the needs of each student in the class and the class dynamics as a whole. Therefore, we cannot guarantee requests will be granted, but for those requests into consideration while putting our classes together. For each student, we will consider two single requests. (Each name of a friend or teacher counts as a single request.) Please place these in order of importance.

Parent/Guardian 1 Contact Information

Parent/Guardian 2 Contact Information

Please provide one EMERGENCY CONTACT to be notified if both parents are unreachable.

Please verify below that you and your student(s) have reviewed the information provided in our Policies and Procedures handbook. The handbook can be found under the Education tab at unitedhebrew.org and copies are available in the synagogue office.

The Policies of United Hebrew Congregation Schools should be read yearly and understood by both the parents and the students. If not signed, parents accept and agree to all policies listed until such time that we receive notification of preferences.

I agree
I do not agree

Emergency Release

I agree to the statements above regarding emergency care of my child
I do not authorize the emergency care of my child as stated above. I agree to provide United Hebrew Schools with specific instructions regarding the emergency care of my child.

There is one price for school at United Hebrew. This cost includes religious school, Hebrew education, retreats, b'nai mitzvah fee, technology fee, security fee and teacher appreciation. A late fee applies after July 1, 2019.

$

If you would like to add an additional amount for Teacher Appreciation to be gifted at the end of the school year, please do so here. The names of all contributing families will be listed in a card to be given to the teachers.

$

Assists congregational families in need with Religious School tuition and fees

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

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