Shul School Registration

Email

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Part 1 : Student Information

Name*

First Last

Preferred Pronoun

Please Indicate if Other

Jewish By*

Tribe

Hebrew Name

Birth Date*

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Age

School

Grade for Registration Year

Part 2 : Parent/Guardian Information

Marital Status of Parents

If divorced or separated, please indicate who has custody and should be contacted with issues or concerns.*

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Guardian's Name

First Last

Parent A's Name

First Last

Parent A's Date of Birth

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Parent A's Address

Street Address City Province Postal Code

Parent A's Phone

Parent A's Email

I would like to receive Shul School updates, notifications and communication*

Yes
No

I would like to receive all other congregational communications such as our weekly newsletter and special announcements.*

Yes
No

Parent B's Name

First Last

Parent B's Date of Birth

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Parent B's Address (if different from Parent A)

Street Address City Province Postal Code

Parent B's Phone

Parent B's Email

I would like to receive Shul School updates, notifications and communication*

Yes
No

I would like to receive all other congregational communications such as our weekly newsletter and special announcements.*

Yes
No

Part 3 : Hebrew Education

Does your child read Hebrew?

Does your child speak/understand Hebrew?

Does your child have any learning challenges with general studies?

Additional Information

Part 4 : Medical Information (Confidential) and Consent

Is your child up to date with vaccinations*

Are there any medical concerns (i.e. allergies) or additional information regarding your child that we should be aware of?

Please Check for Consent*

I hereby consent to the Beth Tzedec School Administration to take necessary medical measures for my child in the event of a medical emergency.

Part 5 : Emergency Contact Person to be contacted in case of an emergency (when parent/guardian cannot be reached):

Name of Emergency Contact (when parent(s) cannot be reached)

First Last

Relationship to the Child

Phone

Part 6: Media Consent

We love to show off how much fun we're having at Shul School! Do you consent to us using photos of your child(ren) in Beth Tzedec publications, marketing and social media?*

Yes, I consent to Beth Tzedec sharing photos of my child in synagogue publications, marketing and social media.
No, I do not consent.

I understand that no personal information, such as names, will be used in any publications unless express consent is given. I further understand that this consent may be withdrawn by me at any time, upon written notice.

Part 7: Shared Information Consent

Occasionally, we're asked to connect Shul School families with one another.

I hereby grant the Beth Tzedec permission to share our contact information with other families of the Shul School Class, for the purpose of invitations to birthday and/or other social gatherings.

Part 8 : Tuition and Payment
Tuition for a year of shul school is $450 for current Beth Tzedec members and $800 for Guest Families. Please contact our office if a payment plan would make Jewish education more accessible for your family.

Do you and your family have a current Beth Tzedec membership?

Yes, our membership is current for the 2025-26 year.
No, we are not current Beth Tzedec members.

Member Rate

Price:

Guest Rate

Price:

Method of Payment

Cheque (payable to Beth Tzedec Congregation)
Payment Plan (contact the office within 2 business days)
Paypal/Credit Card

Class Dates

Shul School Registration