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Religious School Registration

July 16, 2018
by RST Web Admin
in Sunday School
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Indicate Tuition Check Number. If paying by Credit Card type PAYPAL in this box

Please indicate here if you need to discuss a payment plan for tuition:

Yes

1st Child’s Name (English)

1st Child’s Hebrew Name

Birthdate

Grade

Bat/Bat Mitzvah Year?

Yes
No

Does your child attend Hebrew School?

Yes
No

Does/did your child attend the Hebrew Academy?

Yes
No

Are there any problems that affect your child’s class behavior, performance, or participation of which the teacher should be aware? Please include specifics on any allergies.

Second Child

2nd Child’s Name (English)

2nd Child’s Hebrew Name

2nd Child Birthdate

2nd Child Grade

2nd Child Bat/Bat Mitzvah Year?

Yes
No

2 Does your child attend Hebrew School?

Yes
No

2 Does/did your child attend the Hebrew Academy?

Yes
No

2 Are there any problems that affect your child’s class behavior, performance, or participation of which the teacher should be aware? Please include specifics on any allergies.

Third Child

3rd Child’s Name (English)

3rd Child’s Hebrew Name

3rd Child Birthdate

3rd Child Grade

3rd Child Bat/Bat Mitzvah Year?

Yes
No

3 Does your child attend Hebrew School?

Yes
No

3 Are there any problems that affect your child’s class behavior, performance, or participation of which the teacher should be aware? Please include specifics on any allergies.

3 Does/did your child attend the Hebrew Academy?

Yes
No

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Mother's Name (English)

Mother's Hebrew Name

Father's Name (English)

Father's Hebrew Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone

Emergency # to call during Religious School hours, if different from cell above:

Parent Email *

Please check here if you wish to DENY permission to use photos of yourself and/or your children in synagogue-related activities.

DENY Permission

Name

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401 City Center Blvd.
Newport News, VA 23606
(757) 826-5894
FAX (757) 826-5896
Contact Us

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Rabbi: Gilah Dror
President: Martha B. Katz-Hyman
Office Administrator:
Radie Maye
Director of Education:
Tanya Wisoker

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Rodef Sholom Temple
401 City Center Blvd.
Newport News, VA 23606

Rodef Sholom Temple
401 City Center Blvd.
Newport News, VA 23606