2019-20 Religious School Registration Form

Thank you for your interest in CBI religious school!
Classes will begin in early September of fall 2019- VIEW OUR CALENDAR

MEMBERS:
IF YOU HAVE NOT CREATED A SHULCLOUD LOGIN YET,
CONTACT US to setup an account FIRST

If you have created an account already

by clicking "login" in the top right corner of this page.

A few reasons why religious school is going to ROCK next year:

The “dynamic duo”, Carly Cera and Sarah Jew will continue to lead our team in the Education office for another year!!
Beth Israel + The Institute of Southern Jewish Life
We’re proud to be 1 of 80 religious schools across the 13-state southern US region to share in the ISJL’s curriculum! We are looking forward to attending the ISJL Annual Conference in June and meeting our ISJL Education Fellow, who will visit a few times throughout the year to help run and plan special programming at CBI!! More details about our curriculum will be shared in a meeting at the beginning of the year. Keep an eye out!
With the focus of our Midrasha Wednesday program moving back to Hebrew learning for 3^rd – 6^th graders, we can place a stronger emphasis on our Youth Groups and community building activities which typically take place after Sunday religious school.

Useful Info:
You may experience a "glitch" while filling out this form. For example, if you accidentally select the option to register 2 children when you actually only have 1 child, you may still see form fields for "Student 2". In instances like these we suggest refreshing the page. We are super sorry for any inconveniences this may cause as we get used to using our new synagogue management system.

Likewise, if you accidentally hit the "enter" key on your keyboard, your form will be automatically submitted. Please EMAIL US so we can finishing editing your form, or you may start over and submit another form. Again, we are so sorry for any inconveniences this may cause.

Form Guide:

Student Information- Includes General Info, Special Needs, Health History, & Course Registration for up to 4 children
Parent Information
Emergency Contact Information
Contribution Opportunities- Parent Auxiliary Fund, Zach Avner Inclusion Fund, Student Scholarship Fund, Security Donations
Permissions- Includes Directory Permissions, Permission to Seek Treatment, Information Disclaimer, & Media Disclaimer

* How many children are you enrolling on this account?

Youth classes are available for children ages 2.5 - 18 years
Please visit our website for more information!

* Are you a member or non-member of CBI?

Student 1 Information

Student 1 - First Name

Student 1 - Middle Name

Student 1 - Last Name

Student 1 - Nick Name

Student 1 - Hebrew Name

* Student 1- Pronouns

Student 1 - Birth Date

Student 1- Secular School

Student 1- Secular Grade in 2019-20

Student 1- Email Address

Please provide an email address for students in 8th grade and older (students are sent occasional classroom email reminders from the CBI Education Office).

Student 1- Cell Phone Number

Please provide a cell phone number for students in 8th grade and older (students are sent occasional classroom text reminders from the CBI Education Office).

* Home address is same as parent/guardian #1?

Please use this space to explain your child's living arrangement

* Does your child have any special needs which affect their education?

Please explain here if you checked "OTHER" above

Does your child have an Individualized Education Plan (IEP), 504 Plan, or Behavior Intervention Plan in their secular school?

Please attached a copy of your child's most recent plan (or submit a physical copy)

Please explain here if you checked "OTHER" above

Please use the space below to include anything about your child's strenths or challenges that would help them have a positive and successful religious school experience:

Please list any Peer Requests

Please note that your requests will be carefully considered but are not gauranteed.

Does your child have any Allergies - including food and medication. Please explain

If there are other medical conditions that will affect your child's experience at Congregation Beth Israel, please explain.

Is your child presently taking medication on a continuing basis?

Please click the + button to add each medication.

Name of Medication

Prescribed for what condition

Current Dosage and Schedule

*Early Bird Registration ends on June 28th, after which time fees increase by $40 unless your family joined CBI after the due date.

Torah Tots with Parents (1xmonth)- $95 member / $170 non-member
Torah Tots 4's - 7th Grade- $220 member / $970 non-member
Midrasha Wednesdays for 3rd - 6th Grade- $100 / Pizza for the year- $90
8th - 10th Grade- $295 member / $1045 non-member
11th & 12th Grade (1-2xmonth)- $95 member / $170 non-member

* What grade is your child entering at CBI in Sept 2019

Students in Torah Tots 4's must turn 4 by 9/1/2019
Students in Kindergarten must turn 5 by 9/1/2019

* What grade is your child entering at CBI in Sept 2019

* Will your child be attending Midrasha on Wednesday evenings?

Our Midrasha program is highly recommended for all 3rd - 6th graders wishing to become Bar / Bat Mitzvah. Midrasha occurs on Wednesday evenings from 4:30-6:30pm. There are a total of 24 sessions. Those who select "no" will be contacted individually by the Education Department.

Pizza on Wednesdays for Grades 3-6

Optional cheese pizza is available for pre-order or purchase on Wednesday's before class starting at 3:45pm.

* Youth Group Membership

ATeed is an advisor-led group with family involvement. Events are held once a month during or after Sunday religious school with one event outside of CBI at the end of the year. Parents are highly encouraged to come observe the fun, lend a hand, and schmooze with each other!

ATT Jr. is an Advisor-led youth group with middle-schooler input. Events occur once per month either at CBI or at an outside location. ATT Jr. is affiliated with the North American Federation of Temple Youth (NFTY) and is party of NFTY's Texas-Oklahoma Region (TOR). Regional/National Event Requirements: You must be a member in good standing of CBI youth groups, and must attend at least one local event before attending a regional/national event.

ATT is a teen board led youth group with Advisor support. Events occur at least once per month during the school year. ATT is affiliated with the North American Federation of Temple Youth (NFTY) and is part of NFTY’s Texas-Oklahoma Region (TOR). Visit GFC’s website to learn about year-round events! Regional/National Event Requirements: You must be a member in good standing of CBI youth groups, and must attend at least one local event before attending a regional/national event.

* Are you interested in working on Sundays as a Madrich/a?

8th graders can work from 9am-11am to receive volunteer service hours.
9th-12th Graders have the option of receiving monetary payment or volunteer service hours for their time.

How do you wish to be compensated for your time?

Please mark all times you are available/interested in working:

930-11am1130-130pm (11th & 12th Grade Only)

Please mark all grades/assignments you are interested in helping with:

Student 2 Information

Student 2 - First Name

Student 2 - Middle Name

Student 2 - Last Name

Student 2 - Nick Name

Student 2 - Hebrew Name

* Student 2 - Pronouns

Student 2- Birth Date

Student 2 - Secular School

Student 2 - Secular Grade in 2019-20

Student 2- Email Address

Please provide an email address for students in 8th grade and older (students are sent occasional classroom email reminders from the CBI Education Office).

Student 1- Cell Phone Number

Please provide a cell phone number for students in 8th grade and older (students are sent occasional classroom text reminders from the CBI Education Office).

* Home address is same as parent/guardian #1?

If Student 2 lives at more than one address please use this space to explain his/her living arrangement

* Does your child have any special needs which affect their education?

Please explain here if you checked "OTHER" above

Does your child have an Individualized Education Plan (IEP), 504 Plan, or Behavior Intervention Plan in their secular school?

Please attached a copy of your child's most recent plan (or submit a physical copy)

Please explain here if you checked "OTHER" above

Please use the space below to include anything about your child's strenths or challenges that would help them have a positive and successful religious school experience:

Please list any Peer Requests

Please note that your requests will be carefully considered but are not gauranteed.

Does your child have any Allergies - including food and medication. Please explain

If there are other medical conditions that will affect your child's experience at Congregation Beth Israel, please explain.

Is your child presently taking medication on a continuing basis?

Please click the + button to add each medication.

Name of Medication

Prescribed for what condition

Current Dosage and Schedule

*Early Bird Registration ends on June 28th, after which time fees increase by $40 unless your family joined CBI after the due date.

* What grade is your child entering at CBI in Sept 2019

TORAH TOTS 3'S - CLASS IS FULL. PLEASE email us TO PUT YOUR NAME ON THE WAITLIST!
Students in Torah Tots 4's must turn 4 by 9/1/2019
Students in Kindergarten must turn 5 by 9/1/2019

* What grade is your child entering at CBI in Sept 2019

* Will your child be attending Midrasha on Wednesday evenings?

Pizza on Wednesdays for Grades 3-6

Optional cheese pizza is available for pre-order or purchase on Wednesday's before class starting at 3:45pm.

* Youth Group Membership

* Are you interested in working on Sundays as a Madrich/a?

8th graders can work from 9am-11am to receive volunteer service hours.
9th-12th Graders have the option of receiving monetary payment or volunteer service hours for their time.

How do you wish to be compensated for your time?

Please mark all times you are available/interested in working:

930-11am1130-130pm (11th & 12th Grade Only)

Please mark all grades/assignments you are interested in helping with:

Student 3 Information

Student 3 - First Name

Student 3 - Middle Name

Student 3 - Last Name

Student 3 - Nick Name

Student 3 - Hebrew Name

* Student 3 - Pronouns

Student 3- Birth Date

Student 3 - Secular School

Student 3 - Secular Grade in 2019-20

Student 3- Email Address

Please provide an email address for students in 8th grade and older.

Student 3- Cell Phone Number

Please provide a cell phone number for students in 8th grade and older (students are sent occasional classroom text reminders from the CBI Education Office).

* Home address is same as parent/guardian #1?

If Student 3 lives at more than one address please use this space to explain his/her living arrangement

* Does your child have any special needs which affect their education?

Please explain here if you checked "OTHER" above

Does your child have an Individualized Education Plan (IEP), 504 Plan, or Behavior Intervention Plan in their secular school?

Please attached a copy of your child's most recent plan (or submit a physical copy)

Please explain here if you checked "OTHER" above

Please use the space below to include anything about your child's strenths or challenges that would help them have a positive and successful religious school experience:

Please list any Peer Requests

Please note that your requests will be carefully considered but are not gauranteed.

Does your child have any Allergies - including food and medication. Please explain

If there are other medical conditions that will affect your child's experience at Congregation Beth Israel, please explain.

Is your child presently taking medication on a continuing basis?

Please click the + button to add each medication.

Name of Medication

Prescribed for what condition

Current Dosage and Schedule

*Early Bird Registration ends on June 28th, after which time fees increase by $40 unless your family joined CBI after the due date.

* What grade is your child entering at CBI in Sept 2019

TORAH TOTS 3'S - CLASS IS FULL. PLEASE email us TO PUT YOUR NAME ON THE WAITLIST!
Students in Torah Tots 4's must turn 4 by 9/1/2019
Students in Kindergarten must turn 5 by 9/1/2019

* What grade is your child entering at CBI in Sept 2019

* Will your child be attending Midrasha on Wednesday evenings?

Our Midrasha program is highly recommended for all 3rd - 6th graders wishing to become Bar / Bat Mitzvah. Midrasha occurs on Wednesday evenings from 4:30-6:30pm. There are a total of 24 sessions. Optional cheese pizza is available for pre-order or purchase on Wednesday's before class.

Pizza on Wednesdays for Grades 3-6

* Youth Group Membership

* Are you interested in working on Sundays as a Madrich/a?

8th graders can work from 9am-11am to receive volunteer service hours.
9th-12th Graders have the option of receiving monetary payment or volunteer service hours for their time.

How do you wish to be compensated for your time?

Please mark all times you are available/interested in working:

930-11am1130-130pm (11th & 12th Grade Only)

Please mark all grades/assignments you are interested in helping with:

Student 4 Information

Student 4 - First Name

Student 4 - Middle Name

Student 4 - Last Name

Student 4- Nick Name

Student 4- Hebrew Name

* Student 4 -Pronouns

Student 4- Birth Date

Student 4 - Secular School

Student 4- Secular Grade in 2019-20

Student 4- Email Address

Please provide an email address for students in 8th grade and older.

Student 4- Cell Phone Number

Please provide a cell phone number for students in 8th grade and older (students are sent occasional classroom text reminders from the CBI Education Office).

* Home address is same as parent/guardian #1?

If Student 4 lives at more than one address please use this space to explain his/her living arrangement

* Does your child have any special needs which affect their education?

Please explain here if you checked "OTHER" above

Does your child have an Individualized Education Plan (IEP), 504 Plan, or Behavior Intervention Plan in their secular school?

Please attached a copy of your child's most recent plan (or submit a physical copy)

Please explain here if you checked "OTHER" above

Please use the space below to include anything about your child's strenths or challenges that would help them have a positive and successful religious school experience:

Please list any Peer Requests

Please note that your requests will be carefully considered but are not gauranteed.

Does your child have any Allergies - including food and medication. Please explain

If there are other medical conditions that will affect your child's experience at Congregation Beth Israel, please explain.

Is your child presently taking medication on a continuing basis?

*Early Bird Registration ends on June 28th, after which time fees increase by $40 unless your family joined CBI after the due date.

* What grade is your child entering at CBI in Sept 2019

Students in Torah Tots 3's must turn 3 by 12/31/2019
Students in Torah Tots 4's must turn 4 by 9/1/2019
Students in Kindergarten must turn 5 by 9/1/2019

* What grade is your child entering at CBI in Sept 2019

Will your child be attending Midrasha on Wednesday evenings?

Our Midrasha program is highly recommended for all 3rd - 6th graders wishing to become Bar / Bat Mitzvah. Midrasha occurs on Wednesday evenings from 4:30-6:30pm. There are a total of 24 sessions. Optional cheese pizza is available for pre-order or purchase on Wednesday's before class.

Pizza on Wednesdays for Grades 3-6

Youth Group Membership

Are you interested in working on Sundays as a Madrich/a?

8th graders can work from 9am-11am to receive volunteer service hours.
9th-12th Graders have the option of receiving monetary payment or volunteer service hours for their time.

How do you wish to be compensated for your time?

Please mark all times you are available/interested in working:

930-11am1130-130pm (11th & 12th Grade Only)

Please mark all grades/assignments you are interested in helping with:

* How many parents are on this account?

Parent 1 - First Name

Parent 1 - Last Name

* Parent 1 - Email

Parent 1 - Facebook Name

Parent 1 - Home Phone

Parent 1 - Cell Phone

Parent 1 - Work Phone

Parent 1 - Home Address

Parent 1 - City

Parent 1 - State

Parent 1 - Zip

* Would you like to receive school emails

Parent 2 - First Name

Parent 2 - Last Name

* Parent 2 - Email

Parent 2 - Facebook Name

Parent 2 - Home Phone

Parent 2 - Cell Phone

Parent 2 - Work Phone

* Does parent 2 live at the same address?

Parent 2 - Home Address

Parent 2 - City

Parent 2 - State

Parent 2 - Zip

* Would you like to receive school emails

Should my child become ill and a parent/guardian cannot be reached, please notify one of the following people to pick up my child. If there should be civil defense emergency or natural disaster, the following people are authorized to pick up my child.

* Name

Relationship

Home Phone

* Cell Phone

Name

Relationship

Home Phone

Cell Phone

Please consider making an additional donation to our school through one of the following funds. Any amount helps tremendously, is greatly appreciated, and represents a perpetuation of Jewish values. Thank you for joining us in the critical effort of raising connected and engaged Jewish children.

The Parent Auxiliary Fund enables us to host special events within our school such as Passover and Tu B'shevat Seders, Shabbat dinners, and Teacher Appreciation.

Please enter a $ amount above

The Zach Avner Memorial Fund enables us to provide services and support to our special needs students such as classroom aides, teacher training, and special learning materials.

Please enter a $ amount above

The Student Scholarship Fund enables us to help families who would otherwise not be able to afford religious school fees.

Please enter a $ amount above

The Security Donation Fund enables us to have TCSO present on all religious school Sundays and Wednesdays, as well at at our First Friday Community Shabbat & Dinners.

Please enter a $ amount above

I understand that, in the case of illness or injury of my child, every effort will be made to contact the parent or guardian. If the parent or guardian cannot be contacted, I hereby authorized the employees of Congregation Beth Israel to consent to and/or arrange for any emergency medical treatment that may be deemed necessary by a health care professional with respect to any illness or injury suffered by my child during activities taking place at Congregation Beth Israel. The agent authorized to consent to and/or arrange for emergency medical treatment herein is also designated as my personal representative under HIPAA and the Privacy Rule, as needed to fulfill the agent's responsibilities.

* Parent Initials

* Date

I understand that it is my responsibility to update my family’s contact information so that the staff at Congregation Beth Israel can reach me at any time

* Parent Initials

* Date

Please include the following information about our family in the class directory (Check all that apply):

First and Last Names of parents/childrenHome Phone NumberHome AddressSecular/Day SchoolParent Email Address(es)Please DO NOT include our family’s information in the class directory

* Parent Initials

Date

* Media Permissions: please check the appropriate boxes below

We agree to allow CBI to use images of our child for its website ads and bulletins.We DO NOT agree to allow CBI to use images of our child for its website ads and bulletins.

* Parent Initials

* Date

Total Tuition Amount

**Early Bird Registration ends on June 28th, after which fees increase by $40/family**

THOSE WHO HAVE NOT SETUP A SHULCLOUD MEMBER ACCOUNT
WILL BE ASKED TO SUBMIT CREDIT CARD INFORMATION ON THE NEXT PAGE.
CONTACT US to setup an account and/or payment plan FIRST.
CLICK HERE to learn more about CBI membership!

Thu, April 25 2024 17 Nisan 5784

2019-20 Religious School Registration Form

Thank you for your interest in CBI religious school!
Classes will begin in early September of fall 2019- VIEW OUR CALENDAR

The “dynamic duo”, Carly Cera and Sarah Jew will continue to lead our team in the Education office for another year!!

With the focus of our Midrasha Wednesday program moving back to Hebrew learning for 3^rd – 6^th graders, we can place a stronger emphasis on our Youth Groups and community building activities which typically take place after Sunday religious school.

Student 1 Information

Student 2 Information

Student 3 Information

Student 4 Information

2019-20 Religious School Registration Form

Thank you for your interest in CBI religious school! Classes will begin in early September of fall 2019- VIEW OUR CALENDAR

The “dynamic duo”, Carly Cera and Sarah Jew will continue to lead our team in the Education office for another year!!

With the focus of our Midrasha Wednesday program moving back to Hebrew learning for 3rd – 6th graders, we can place a stronger emphasis on our Youth Groups and community building activities which typically take place after Sunday religious school.

Student 1 Information

Student 2 Information

Student 3 Information

Student 4 Information

Thank you for your interest in CBI religious school!
Classes will begin in early September of fall 2019- VIEW OUR CALENDAR

With the focus of our Midrasha Wednesday program moving back to Hebrew learning for 3^rd – 6^th graders, we can place a stronger emphasis on our Youth Groups and community building activities which typically take place after Sunday religious school.