Please fill out this form to register your children for Torah School. You can enter all children on the same form. Torah School will begin on Sunday, August 25th, 2024. The base cost for the 2024-25 school year is:

$1100 for students in K-1st grade (Sunday mornings only)
$1600 for students in 2nd-7th grade (Sunday mornings & Tuesday afternoons)
NEW! $750 for students in 8th-12th grade

These amounts will be prorated for the time remaining in the school year.

Once you have finished entering all information, click the "Enroll" button to go to the payment page.

Please note, registration is not complete until you have completed your 2024-25 TBI Annual Commitment, which will open up on August 1st.

For any questions, reach out to rabbi.rosenberg@tbila.org.

Family Information

Parent 1:

Title

* First name

* Last name

Suffix

Hebrew name

(If available, English or Hebrew characters acceptable)

Father's Hebrew name

(If available, English or Hebrew characters acceptable)

Mother's Hebrew name

(If available, English or Hebrew characters acceptable)

* Email

* Mobile phone

* Home address line 1

Home phone

Home address line 2

* Home address city

* Home address state

* Home address zip

Work company name

Work position

Work phone

Work address

Work city

Work state

Work zip

Parent 2:

Add parent 2 to family account?

Add parent 2 to family accountDo not add parent 2 to family account: contact info only

Title

First name

Last name

Suffix

Title

First name

Last name

Suffix

Hebrew name

(If available, English or Hebrew characters acceptable)

Father's Hebrew name

(If available, English or Hebrew characters acceptable)

Mother's Hebrew name

(If available, English or Hebrew characters acceptable)

Mobile phone

Work phone

Mobile phone

Work phone

Home address line 1

(If different from parent 1)

Home phone

(If different from parent 1)

Home address line 2

(If different from parent 1)

Work company name

Work position

Work phone

Home address city

(If different from parent 1)

Home address state

(If different from parent 1)

Home address zip

(If different from parent 1)

Work company name

Work position

Work phone

Work address

Work city

Work state

Work zip

School and Medical Information:

Name and address of school

(If all children attend the same school)

Phone number of school

Name and address of family physician

If any child has a different physician, please enter their information in that child's section below.

Phone number of physician

Name and address of dentist

Phone number of dentist

If injury/illness is minor, do you authorize Temple Beth Israel Highland Park to administer first aid?

YesNo

If injury/illness is serious & you can’t be reached, do you wish your personal physician or dentist to be contacted?

YesNo

Insurance carrier

If any child has a different insurance plan, please enter their information in that child's section below.

Policy number

Permission to use your children's photos (website, newspaper, bulletin or T.V.)

YesNo

Permission to publish phone number on class roster

YesNo

Emergency Contact:

If you cannot be reached in case of an emergency, give the names of the people to be notified and/or to whom the child/children can be released.

Name (Emergency Contact 1)

(Emergency Contact 1)

Phone

(Emergency Contact 1)

Address

(Emergency Contact 1)

Name (Emergency Contact 2)

(Emergency Contact 2)

Phone

(Emergency Contact 2)

Address

(Emergency Contact 2)

Children:

How many children would you like to enroll in K-1st grade?

How many children would you like to enroll in 2nd-7th grade?

How many children would you like to enroll in 8th-12th grade?

New student?

* First Name

Middle Name

* Last Name

Suffix

Preferred pronouns

Hebrew Name

(If available, English or Hebrew characters acceptable)

* Birthday (MM/DD/YYYY)

* Grade

Please send us additional information information about TBI's B Mitzvah program

Does this child attend the school listed above?

YesNo

Name and address of school

Phone number of school

Does this child use the family physician listed above?

YesNo

Name and address of physician

Phone number of physician

Does this child use the family dentist listed above?

YesNo

Name and address of dentist

Phone number of dentist

* Does the child have any allergies? If so, please describe them. What should the school do in case of accidental exposure?

* Please explain any medical conditions of which the school needs to be aware:

Is this child on the insurance policy listed above?

YesNo

Insurance carrier

Policy number

Is there anything else the school should know about this child?

* Are you interested in serving on TBI's School Pod? The meet monthly to support our kids, families, and school.

Do you have any business connections which could benefit our school?

* I hereby grant permission to Temple Beth Israel Highland Park to call a physician/dentist for necessary medical care or hospitalization for my child(ren) in case of an emergency, after trying to notify me first. Further, I release Temple Beth Israel Highland Park; it’s officers, agents and employees, from any and all liability.

I hereby grant permission to Temple Beth Israel Highland Park to call a physician/dentist for necessary medical care or hospitalization for my child(ren) in case of an emergency, after trying to notify me first. Further, I release Temple Beth Israel Highland Park; it’s officers, agents and employees, from any and all liability.

* My family agrees to comply with all COVID safety rules

My family agrees to comply with all COVID safety rules See the Torah School's current safety rules here. You will be notified if these rules change.

* I understand that students are expected to attend the Torah School Shabbaton (details will be announced later in the school year)

I understand that students are expected to attend the Torah School Shabbaton (details will be announced later in the school year)

* My family agrees to help make our school a safe and welcoming space for everyone.

My family agrees to help make our school a safe and welcoming space for everyone.

I am interested in receiving information about educational programming for adults at TBI.

* I recognize that this registration is not complete until I have completed my 2024-25 TBI Annual Commitment form in August.

I recognize that this registration is not complete until I have completed my 2024-25 TBI Annual Commitment form in August.

TOTAL AMOUNT:

Total payment

(On the next screen, there will be options to pay immediately, set up monthly payments, or to bill to your account and pay by check. We also have an option to make alternative financial arrangements.)

Gilberg Family Religious School Registration 5784-5

Family Information

Parent 1:

Parent 2:

School and Medical Information:

Emergency Contact:

Children:

TOTAL AMOUNT:

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