Student’s Name:
Birthdate: M F
Address, City, Zip:
Phone #
Cell #:
Public School Grade in September 07:
3
4
5
6
7
8
9
10
11
12
Mothers Name:
Day Phone #
Fathers Name:
Day Phone #
Parents Email:
Would you like to recieve religious School Email updates: y N
If Parents are Seperated or Divorced
and custody is shared, please provide
other parents address:
Address, City, Zip:
In Case of Emergency Call:
Name:
Relationship:
Home Phone #
Cell #:
In case we are unable to reach you in an emergency. I give permission for school authorities to take any action deemed necessary if I cannot be reached by telephone in case of emergency.
Yes No Date:
Financial Obligation: All Synagogue and Religious School financial obligations must be current in order to register and attend.
Does your child have a learning difference that we need to be aware of?
Yes No Please Explain:
Does the student have an IEP?
Yes No If so, for what reason?
Please provide any other information about your child we should know:
Class Choices*:
*CHECK YOUR FIRST CHOICE. You will be called if it cannot be honored. Grades 3 -5 attend twice a week, either Sunday 8:45 AM AND Thursday OR Sunday 11:15 AM AND Wednesday. Grades K -2 attend Sunday Only...
Sunday 8:45 – 10:45 AM (Gr. K- 2)
11:15 – 1:15 PM (Gr. K -2 )
Sunday 8:45 - 10:45 AM AND Thursday 4:45 – 6:15 PM (Gr 3 – 5)
Sunday 11:15 – 1:15 PM AND Wednesday 4:30 PM – 6:00 PM (Gr. 3 – 5)
**The 6th Grade Program will also include 4 retreats during the year.
Midrasha Program 6:30 – 8:30 PM Wednesday (Gr. 6 -8 )**
***9th Grade students will be in the classroom two or three times a month and engaging in community service mitzvah projects one time a month.
Confirmation Program 6:15 – 8:15 PM Tuesday (Gr. 9 – 10)***
Is this your child’s first year in the Shir Ami Religious School?
Yes No
PLEASE BE A PARENT VOLUNTEER! WE WELCOME YOUR HELP AND INVOLVEMENT! Check all that apply… I am interested in helping with:
Religious School Commission Mission Statement:
Our mission is to encourage participation and communication between parents, educators, clergy, and interested synagogue members in the operation, curriculum and activities of the Shir Ami Religious School. Our goal is to ensure our students are receiving the best possible Reform Jewish education as well as building a foundation for lifelong learning for families.
Religious School Committee
Being a Room Parent
Purim Carnival
Fundraising
Shabbat Dinners
Chanukah Program
Passover Seder
Office Volunteers
Newsletter
Parking Patrol
Simcha Book Program