Hebrew School Application

You may apply for the Synagogue for the Arts Hebrew School online using this form. We ask that you to provide a $100 deposit per student. We will contact you shortly after receiving the application and deposit.

Please enter the information below. In the next step, we will ask you to enter the deposit amount.

Child's Family Name:
Required
Address:
Required
City:
Required
State/Province:
Required
Zip/Postal Code:
Required
 

First Child's Information:

Child's First Name:
Required
Secular Hebrew First Name:
Religious School Grade:
As of September
Regular School Grade:
As of September
Birth Date:
MM/DD/YYYY
 

Second Child's Information:

Child's First Name:
Secular Hebrew First Name:
Religious School Grade:
As of September
Regular School Grade:
As of September
Birth Date:
MM/DD/YYYY
 

First Parent's Information:

First Parent's Name:
Required
If first parent's address is different than child's address:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone:
Required
Cell Phone:
E-mail:
Required
 

Second Parent's Information:

Second Parent's Name:
If second parent's address is different than child's address:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone:
Cell Phone:
E-mail:
 

Emergency Contact Information (Please Submit 2):

Name 1:
Relationship to Child:
Phone:
 
Name 2:
Relationship to Child:
Phone:
 

Please detail any issues that your child(ren) might have:

Learning Issues: Does your child have any learning issues that we need to know about? (i.e. ADD):
Health Issues: Does your child have any health issues that we need to know about? (i.e. vision issues, diabetes, allergies to peanuts or other foods, bees, cats) We occasionally have food at school events. Be sure to list any foods that your child cannot have:
 

Pick Up:

My Child will leave Hebrew school by themselves.
My child will be picked up.
Please provide names of adults other than parents or guardians who may pick up child:
Name:
Name:
 
 
How did you hear about us?
 
Are you a current member of Synagoge for the Arts? Yes
No
 
I give permission for my child(ren)’s photo to be used on our website and shared within the synagogue: Yes
No