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5783/2022-2023
Religious School/Judaica High Registration

NOTE: You MUST be a CBE Member to register your child(ren) for Religious School or Judaica High. If you have not yet completed your Membership registration, please go to the Membership page and do that first.

This form must be completed in full, signed, and submitted before your child can attend Religious School/Judaica High. If you prefer to fill out by hand, please scroll down for a downloadable/printable version of the form.

If your child has special needs, you are encouraged to speak directly with the VP of Jewish Education (Temple office can provide contact information). Every effort will be made to accommodate you. Any request made or information shared will be held in the strictest confidence.

Parent/Guardian Information

Parent/Guaridan 1 Last Name

Parent/Guardian 1 First Name

Parent/Guardian 1 Phone

Parent/Guardian 1 Email

Parent/Guardian 1 Address

Parent/Guaridan 2 Last Name

Parent/Guardian 2 First Name

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

Parent/Guardian 2 Address

Student 1 Information

Student 1 Last Name

Student 1 First Name

Student 1 Hebrew Name

Student 1 Birthday

Student 1 Cell Phone

Student 1 Email

Student 1 Primary Address

Student 1 Grade

Who does Student 1 live with on Sundays?

Student 1 Prior Hebrew or Religious Education

Student 2 Information

Student 2 Last Name

Student 2 First Name

Student 2 Hebrew Name

Student 2 Birthday

Student 2 Cell Phone

Student 2 Email

Student 2 Primary Address

Student 2 Grade

Who does Student 2 live with on Sundays?

Student 2 Prior Hebrew or Religious Education

Student 3 Information

Student 3 Last Name

Student 3 First Name

Student 3 Hebrew Name

Student 3 Birthday

Student 3 Cell Phone

Student 3 Email

Student 3 Primary Address

Student 3 Grade

Who does Student 3 live with on Sundays?

Student 3 Prior Hebrew or Religious Education

Persons Authorized to Pick Up from School

Authorized Person 1

Authorized Person 1: Full Name

Authorized Person 1: Relationship to Child(ren)

Authorized Person 1: Best Phone Number

Authorized Person 2

Authorized Person 2: Full Name

Authorized Person 2: Relationship to Child(ren)

Authorized Person 2: Best Phone Number

Authorized Person 3

Authorized Person 3: Full Name

Authorized Person 3: Relationship to Child(ren)

Authorized Person 3: Best Phone Number

Authorized Person 4

Authorized Person 4: Full Name

Authorized Person 4: Relationship to Child(ren)

Authorized Person 4: Best Phone Number

Download School Registration Form for Print