Religious School Registration 2023-24

* Is your family new to our school?

* Is your family a member of Beth Shalom Congregation?

Please note that if you are enrolling a student that is entering 3rd -7th grade, membership at Beth Shalom Congregation is a requirement. Please contact Jessica Schultz for membership information.

Enrolling a student in PreK - 2nd grade or 8th-10th grade does not require membership.

* Include family on community lists?
Is your family interested in being included on community lists based on public school/neighborhood so that you can connect with other religious school families near you?

Section A: 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? If 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
Please Select OneNoYes, at the same address as the primary contactYes, but at a different address than the primary contact

* 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 Name
This should be someone other than an adult living with the student(s),

* Emergency Contact Phone

* Emergency Contact Relationship

* Physician's Name

* Physician's Phone

* Medical Insurance Company

* Medical Insurance Member ID

* Medical Insurance Group Number

Section B: Address Form for Grandparents and Special Guests

Name (first and last)

Relationship to student(s)

Email Address

Street Address

City

State

Zip Code

Name (first and last)

Relationship to student(s)

Email Address

Street Address

City

State

Zip Code

Name (first and last)

Relationship to student(s)

Email Address

Street Address

City

State

Zip Code

Section C: Student Enrollment Information

There are many impediments to Jewish education but finances should never be one! We ask that every family commits to some financial contribution, however we are very happy to discuss financial assistance options for any family who needs it.
If you select yes, you will discuss your payment ability in a confidential meeting with our Administrator. Please reach out directly to Jessica Schultz to begin the conversation.

* Do you require financial assistance?
All financial assistance requests will be held in the strictest of confidence.

* How many preK - 12th grade children are being enrolled for the current Religious School year?

If you need to register more than four(4) children, please contact our Religious School Office (religiousschool@beth-shalom.net)

Student 1 Information

* Student 1: First Name

* Student 1: Last Name

* Student 1: Birthdate

* Student 1: Hebrew Name

Student 1: Nickname (if applicable)

NOTE: Religious school grade selection is the same as your child's grade for their secular school year unless you have made other arrangements with the religious school office. Information will not be shared publicly. Parents will be copied on all communication to students.

* Student 1: Grade in Religious School

Student 1: B'nai Mitzvah Fees
6th Grade B'nai Mitzvah Fee7th Grade B'nai Mitzvah Fee

* Student 1: Grade in Religious School

* Student 1: Grade in Secular School

* Student 1: Secular School Name

Student 1: Email (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

Student 1: Phone (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 1: Special Learning Needs
Please Select OneNoYes (IEP or 504)

We would love to sit down with you and your child’s teacher before the school year begins so that we are able to discuss the best ways to support your child from the outset. If you are comfortable, we invite you to send any documentation ahead of time to religiousschool@beth-shalom.net.

Student 1: Please provide a summary of your students learning needs:

* Student 1: Allergies or Medications - Does your child have allergies or medications that we need to know about?
Please Select OneNoYes

Student 1: Allergy/Medication Details
Please describe allergies and medications with dosage and timing.

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: Grade in Religious School

Student 2: B'nai Mitzvah Fees
6th Grade B'nai Mitzvah Fee7th Grade B'nai Mitzvah Fee

* Student 2: Grade in Religious School

* Student 2:Grade in Secular School

* Student 2: Secular School Name

Student 2: Email (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

Student 2: Phone (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 2: Special Learning Needs
Please Select OneNoYes (IEP or 504)

Student 2: Please provide a summary of your students learning needs:

* Student 2: Allergies or Medications - Does your child have allergies or medications that we need to know about?
Please Select OneNoYes

Student 2: Allergy/Medication Details
Please describe allergies and medications with dosage and timing.

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: Grade in Religious School

Student 3: B'nai Mitzvah Fees
6th Grade B'nai Mitzvah Fee7th Grade B'nai Mitzvah Fee

* Student 3: Grade in Religious School

* Student 3: Grade in Secular School

* Student 3: Secular School Name

Student 3: Email (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

Student 3: Phone (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 3: Special Learning Needs
Please Select OneNoYes (IEP or 504)

Student 3: Please provide a summary of your child's learning needs:

* Student 3: Allergies or Medications - Does your child have any allergies or medications that we need to know about?
Please Select OneNoYes

Student 3: Allergy/Medication Details
Please describe allergies and medications with dosage and timing.

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: Grade in Religious School

Student 4: B'nai Mitzvah Fees
6th Grade B'nai Mitzvah Fee7th Grade B'nai Mitzvah Fee

* Student 4: Grade in Religious School

* Student 4: Grade in Secular School

* Student 4: Secular School Name

Student 4: Email (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

Student 4: Phone (if applicable)
Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 4: Special Learning Needs
Please Select OneNoYes (IEP or 504)

Student 4: Please provide a summary of your child's learning needs:

* Student 4: Allergies or Medications - Does your child have allergies or medications that we need to know about?
Please Select OneNoYes

Student 4: Allergy/Medication Details
Please describe allergies and medications with dosage and timing.

Section D: Release Forms

By signing my name below, my child(ren) have permission to participate in the Beth Shalom Congregation Religious School (BSCRS). In consideration of my child(ren)'s acceptance as a religious school student, I hereby authorize the Director of Education, or person designated by the Director or Education, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of Maryland. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is(are) in good health. They have my permission to participate in all activities that are part of the regular religious school program. Field trips may be arranged by BSCRS, and transportation may include bus or vehicle driven by a classmate's parent or guardian.

If your child needs physical accommodation, please contact Dr. Louis Nagel directly.

* Medical Release: Enter your name below
By typing my name, I confirm I have read, understand and agree to the above.

Learning Commitment

At Beth Shalom Congregation we are committed to Lifelong Jewish learning and aim to provide all students this foundation in childhood. In order to become Bat/Bar Mitzvah at Beth Shalom Congregation, we expect that students will attend a meaningful Jewish educational program in order to achieve this goal. Attendance for the Religious School lower grades (K-2) meet once a week on Sunday's, and upper school grades (3-7) meet twice a week, fulfills this requirement. PreK meets one Sunday a month.

Schedule
Pre-K 2/3 meets in-person one Sunday a month at 9:00a -9:45a
Pre-K 4 meets in-person one Sunday a month at 10:00a -12:00p
Grades K/1: meet in-person Sundays 9:00a-11:00a (enrichment option extends the day to 12:00p)
Grade 2: meets in-person Sundays 9:00a-12:00p
Grades 3-7: meet in-person Sundays 9:00a-12:00p and Wednesdays online 4:30p-6:00p
Hebrew High (Grades 8 - 10): meet Sundays 6:30p-8:00p

The Religious School Calendar is available here.

* 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 your child’s photo may be taken in our classrooms or special events. We use these photos in the religious school newsletter, in our synagogue Shul Schmooze, the BSC website as well as Social Media groups and other publicity materials.

* I give my permission for my child(ren)'s photo to be used:
Please Select OneOn any materialsOn specific materials with my permissionI do not give my permission for my child’s image to be usedPlease note that childrens' names will not be associated with the pictures.

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!

Our program includes many times when the whole family is invited to participate - particularly our Family Education Program and many Holiday celebrations.

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 TeachingField-Trip-ChaperoneFamily-Program-Event-Planning/Support

Limited Engagements (check all that apply)
First/Last-Day-VolunteeringPurim Carnival PlanningPurim Carnival Day Of SupportOther-one-time-events

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

Section F: Payment Information

Religious School Fees
Hebrew High DinnerK/1 Enrichment for MembersK/1 Enrichment for Non-Members

Financial Aid Follow-up: I confirm that I have requested financial aid, and understand that I need to submit the Financial Assistant Form to complete my request.
Financial Aid Follow-up: I confirm that I have requested financial aid, and understand that I need to submit the Financial Assistant Form to complete my request.► Click here to complete the F inancial Assistance Form and submit it directly to our Synagogue Administrator (jessica.schultz@beth-shalom.net). Your Abatement Request will be held in the strictest of confidence.

Total Tuition and fees to be billed

Thu, April 25 2024 17 Nisan 5784