HEIGHTS HEBREW SCHOOL Registration Form
117 REMSEN STREET
BROOKLYN, NY 11201
(718) 596-4840

**If you prefer to download a pdf version of the form and mail it in please click here to download the form.

1. Child Information
Last Name
First Name
Hebrew Name
Birth Date
Gender
F M
Home Address
Zip Code
Home Phone
Cell Phone
Child resides with
Child's age next September [Years / Months]
/
Previous/Current School School
May we have permission to contact them?
Yes No
Phone
Please note below any special consideration regarding your child
My Child’s knowledge of basic Judaism is
good fair poor
My Child
Does not read Hebrew Recognizes letters of Aleph‐Bet
Can read Hebrew slowly Can read Hebrew very well
Language(s) spoken at home
Language(s) spoken by child
How did you hear about our school?
Names, Birth Dates, Schools of Siblings:

2. Parent Information
Father
Last Name
First Name

Born Jewish?
Yes No

If not please explain:

 

If Jewish, Hebrew Name Home Address
(if different from above)
Zip Code
Home Phone
Work Phone
Cell Phone
E-mail Address
Occupation
Work Address
Zip Code
   
Mother
Last Name
First Name

Born Jewish?
Yes No

If not please explain: 

 

If Jewish, Hebrew Name Home Address
(if different from above)
Zip Code
Home Phone
Work Phone
Cell
E-mail Address
Occupation
Work Address
Zip Code
   

3. Parent Consent for Activities Outside the Building and Social Media
I give my child, , permission to participate in supervised curricularand extracurricular activities that may include leaving the school building and traveling by public or private transportation.
Signature
Relationship
Date
I do/do not give consent for pictures of my child to be posted on social media.

I do: 

I do not: 


4. Parental Involvment
It is our belief that a child’s learning experience is enhanced when his/her parents are actively involved in sharing the experience. Furthermore, parental involvement in the preschool’s organization and activities helps the preschool to function at its highest level. We, therefore, encourage all parents to find ways of participating in their child’s Jewish education and offer the following opportunities for your consideration.
Would you be interested in: (please indicate which parent)
Sharing an experience or professional knowledge with a class (e.g., a baby naming, a personal tzedakah project, a trip to Israel, work-related experiences, ethical dilemmas, a Judaica collection, etc.)
Yes No
If yes, which parent?
Helping in another way
Yes No
If yes, which parent?
Being Invited to Shabbat Meals?  Yes  No
Join Shule events and receive emails regarding Shule events?  Yes  No
Join Kiddie Korner's Stoop Soup for Seniors program  Yes   No
Join the CBA sisterhood for women  Yes  No
Would you be interested in taking an adult study course in:
Basic Judaism
Yes No
If yes, which parent?  
Hebrew
Yes No
If yes, which parent? If yes, what is your level in Hebrew?
Torah & Text study
Yes No
If yes, which parent?  
Kabbala/Mysticism
Yes No
If yes, which parent?  
Other
Yes No
If yes, what specifically? and which parent?

 

Registration in Hebrew School does not include Bar Mitzvah lessons, Torah Reading classes or Haftorah Reading classes. These are part of a separate program at an additional cost. Please contact the Hebrew School Director  For more information. 

5. Electronic Signature
NOTE: If for any reason you must pull out of our program, you will lose the deposit and an additional two months of tuition.
Signature of Parent
Date

6. Payment Information

I am interested in becoming a member of Congregation Bnai Avraham, "the fastest growing community in downtown Brooklyn," and receive 10% off  of membership.

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