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2017-2018 (5778) Religious School Registration




(If your child has his/her own phone)

(If your child has his/her own email)

8th grade retreat (October 20-22 in Memphis, TN) $350.00
(10th grade) Confirmation retreat and programs $225.00

A one-time new student technology fee of $30 will be assessed to each student entering UH schools for the first time.



Medical and Specific Needs



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

Please list any FOOD ALLERGIES that your child may have. For those students with allergies, please submit an allergy action report or download an Allergy Information form on the UH website. We ask for this information each year for the safety of your child.




Confidential Information

This section of the form is not required but can help our staff work better with your children.





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)

8th Grade Retreat (October 20-22 in Memphis, TN) $350.00
(10th grade) Confirmation Retreat and Programs $225.00

A one-time new student technology fee of $30 will be assessed to each student entering UH schools for the first time.



Medical and Specific Needs



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

Please list any FOOD ALLERGIES that your child may have. For those students with allergies, please submit an allergy action report or download an Allergy Information form on the UH website. We ask for this information each year for the safety of your child.




Confidential Information

This section of the form is not required but can help our staff work better with your children.





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)

8th Grade Retreat (October 20-22 in Memphis, TN) $350.00
(10th grade) Confirmation Retreat and Programs $225.00

A one-time new student technology fee of $30 will be assessed to each student entering UH schools for the first time.



Medical and Specific Needs



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

Please list any FOOD ALLERGIES that your child may have. For those students with allergies, please submit an allergy action report or download an Allergy Information form on the UH website. We ask for this information each year for the safety of your child.




Confidential Information

This section of the form is not required but can help our staff work better with your children.





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)

8th Grade Retreat (October 20-22 in Memphis, TN) $350.00
(10th grade) Confirmation Retreat and Overnight $225.00

A one-time new student technology fee of $30 will be assessed to each student entering UH schools for the first time.



Medical and Specific Needs



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

Please list any FOOD ALLERGIES that your child may have. For those students with allergies, please submit an allergy action report or download an Allergy Information form on the UH website. We ask for this information each year for the safety of your child.




Confidential Information

This section is not required but can help our staff work better with your children.





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 (website) 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 have read the BULLYING POLICY and understand and accept the terms and conditions of the policy.


Photo and Material Release

I hereby warrant that I have read the release pertaining to "photo and material release" and agree to comply fully with its terms.
I do not authorize my child's participation in the above named activities.

Emergency Release



Those families who register by May 31 will receive early bird religious school pricing. Beginning June 1, everyone will be billed at the regular religious school rate. A late fee is assigned on July 1st if registration is not complete.

Each family is assessed a $36 security fee for the 2017-2018 school year. This allows United Hebrew to have security in the building during religious school hours.

$

Assists congregational families in need with Religious School tuition and fees

$

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. The names of all contributing families will be listed in a card to be given to the teachers.

If you have discussed your special circumstances with Jessy prior to registration, please list that information here.

Account Details

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

Payment Information

  

Total: