Beit Sefer Beth Hillel Registration
Please complete this form for each child that you intend to send to school.
Contact Rabbi Feingold or school administrator with questions.
Childs Name(*)
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Hebrew Name
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Birth date(*) / /
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Secular School Grade(*)
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Parent(s) Name(s)(*)
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Home Phone (xxx-xxx-xxxx)
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Cell Phone (xxx-xxx-xxxx)
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email address(*)
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Emergency Contact Name(*)
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Emergency Phone Number (xxx-xxx-xxxx)(*)
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Interested in carpooling?
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Community carpooling from
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Please list below food allergies, medical conditions, or other special needs your child may have,
pertaining to her/his educational experience at our school. If your child has an IEP that we should
be aware of, please make sure the school administrator receives a copy.
Special Needs
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Emergency Contacts and Insurance Info:
Doctor(*)
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Doctor's phone
xxx-xxx-xxxx(*)
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Dentist
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Dentist's phone
xxx-xxx-xxxx
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Insurance provider(*)
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Policy number(*)
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BSBH Programs:
Sunday Religious School (9:30-Noon; starts Sept. TBA). Children entering Kindergarten thru 9th grade.
Wednesday Hebrew (5:30-7:15pm; starts Sept. TBA
). Children entering grades 3-7 or children who will be 8 yrs old by January 1, 2018.
Confirmation (Meeting time TBA). 10th Grade.
Bar/Bat Mitzvah
Temple Tots (Monthly). Children 4 years and under. Must be accompanied by an adult.
Select program
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Beit Sefer Beth Hillel is funded primarily by the tuition paid by the families with enrolled children. Scholarships
are available to ensure every child has an opportunity for a Jewish education. Please contact the Religious
school administrator at school@bethhillel.net for further information.

Permission for a photo/image that includes this student to be published in the Achshav, school E-Tone,
website and/or other publicity materials.

As you are aware, there are potential dangers associated with the posting of personally identifiable
information on a web site since global access to the Internet does not allow us to control who may access
such information. These dangers have always existed; however, we do want to celebrate your child and his/her
work. The law requires that we ask for your permission to use information about your child.

Pursuant to law, we will not release any personally identifiable information without prior written consent
from you as parent or guardian. Personally identifiable information includes student names and photo or image.
Regardless of your choice below, Temple policy prohibits the display of photos of minor children in
publicly accessible materials directly identified with their name.

If you, as the parent or guardian, wish to rescind this agreement, you may do so at any time in writing by
sending a letter to your child’s school and such rescission will take effect upon receipt by the school.
Photo release(*)
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Submit form

October FOOD OF THE MONTH: Peanut Butter and Jelly 

click for more information

 

This Week at BHT

20 Oct 2017
07:30PM -
Shabbat
21 Oct 2017
12:00AM
Newman Bar Mitzvah
21 Oct 2017
09:15AM - 10:15AM
Torah Study
21 Oct 2017
10:30AM -
Shabbat Morning
22 Oct 2017
07:00PM -
Refugee Discussion Group | Kahn Home
24 Oct 2017
04:00PM -
Shalom Center Soup Kitchen
24 Oct 2017
06:30PM -
Ritual Committee Meeting
25 Oct 2017
05:30PM -
Adult Hebrew Beginner Class
25 Oct 2017
06:30PM -
Adult Hebrew Continuing Class
26 Oct 2017
06:45PM -
Leadership Council Meeting
27 Oct 2017
07:30PM -
Weblink Home Shabbat
29 Oct 2017
10:00AM - 12:00PM
Jewish Community Foundation (JCF) Annual Brunch
30 Oct 2017
07:00PM -
Book Club
01 Nov 2017
12:00AM
3rd Rotating Shabbat Dinner
01 Nov 2017
12:00AM
Achshav Winter Deadline
01 Nov 2017
05:30PM -
Adult Hebrew Beginner Class
01 Nov 2017
06:30PM -
Adult Hebrew Continuing Class
01 Nov 2017
07:00PM -
Refugee Discussion Group | Sobin Home
03 Nov 2017
05:45PM -
Kabbalat Shabbat