CBOI Rabbi Howard Hersch Religious School Registration

Registration
Welcome to our online school registration form.
This form allows you to register your child(ren)
for the Rabbi Howard Hersch Religious School.

Please understand we cannot fill in your children's information.
We appreciate you taking the time to filling out the form for your child's well being.

Please verify and fill in any missing pieces of information
Press the SUBMIT button at the end of the Registration Form

SUNDAYS - Meeting in person at the synagogue
Primary (grades K-2) 9:15-12:00 Noon
Hebrew (grades 3-7) 9:15 -12:00 Noon

WEDNESDAYS - Meeting in person at the synagogue
Hebrew (grades 3-7) 5:00 -6:30 PM

A Message From Joan Hersch - Education Director

We ae committed to providing Jewish Education for all children, with all kinds of needs. How you attend religious school will depend upon what is happening with the pandemic. The one thing you can be sure of is that we will keep learning and taking every opportunity, virtually or in person, to develop Jewish skills and a love of our history, tradition and culture!

I am available throughout the summer to speak with you or any families looking for a synagogue to call home. Please call my cell, 267-980-7500 or email me (morahj@aol.com).

We will be holding several special learning events throughout the summer. Look for them in your emails and the weekly Voice.

Thank you for your support and participation during this difficult time. WE ARE HERE FOR YOU!

Warmest Wishes,
Joan

FAMILY INFORMATION

* Primary Account Holder Last Name

Secondary Account Holder Last Name

* Primary Account Holder First Name

Secondary Account Holder First Name

* Relationship to Student

Relationship to Student

Primary Account Holder Home Phone

Secondary Account Holder Home Phone

* Primary Account Holder Cell Phone

Secondary Account Holder Cell Number

Primary Account Holder Email

Secondary Account Holder Email

* Primary Account Holder Home Address

Secondary Account Holder Home Address

Primary Account Holder City

Secondary Account Holder City

Primary Account Holder State

Secondary Account Holder State

Primary Account Holder Zip Code

Secondary Account Holder Zip Code

* Emergency Contact Name

Please provide the name of a local friend or family member
who can be contacted in the case of emergency (if both parents are unreachable).

* Emergency Contact Number

Please provide the number of your emergency contact person(s)

* May we take & use your child(ren)'s photo?

Please Select OneYES, for any useYes, for internal purposes onlyNO, not for any use

STUDENT INFORMATION

* Student #1 First Name

Student #2 First Name

* Student #1 Last Name

Student #2 Last Name

* Grade (student 1)

Grade (student 2)

Hebrew Name (student 1)

Hebrew Name (student 2)

* Date of Birth (student 1)

MM/DD/YYYY

Date of Birth (student 2)

MM/DD/YYYY

* Public/Private/Home Schooled (student 1)

Public/Private/Home Schooled (student 2)

* Child's Doctor (student 1)

Name and phone number

Child's Doctor (student 2)

Allergies or Medical Conditions (student 1)

Allergies or Medical Conditions (student 2)

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience: (student 1)

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience: (student 2)

If no more children skip to SUBMIT button

Student #3 First Name

Student #4 First Name

Student #3 Last Name

Student #4 Last Name

Grade (student 3)

Grade (student 4)

Hebrew Name (student 3)

Hebrew Name (student 4)

Date of Birth (student 3)

MM/DD/YYYY

Date of Birth (student 4)

MM/DD/YYYY

Public/Private/Home Schooled (student 3)

Public/Private/Home Schooled (student 4)

Child's Doctor (student 3)

Name and Phone Number

Child's Doctor (student 4)

Allergies or Medical Conditions (student 3)

Allergies or any Medical Condition (student 4)

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience: (student 3)

Please provide any additional information about your child regarding learning, social, or behavior issues that will help us offer the best possible school experience: (student 4)

Wed, March 29 2023 7 Nisan 5783

Congregation Brothers of Israel

L'dor Vador—From Generation to Generation since 1883
לדור ודור