2022-2023 BHBE Academy Registration Short Form - Form

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* Is your family new to our school? (If you are a new family, you will need to fill out the full registration form, rather than this shortened version.)

Please Select OneNoYes

Section A: Family Contact Information

* First Name (Primary)

* Last Name (Primary)

* Email (Primary)

Section B: Student Enrollment Information

Student 1 Information

* Student 1 First Name

* Student 1 Last Name

* Student 1 Grade in Religious School

This is the same as your child's grade for the 2022-2023 secular school year unless you have made other arrangements with the religious school office.

* Student 1 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 1 Allergy/Medication Details

Student 2 Information

* Student 2 First Name

* Student 2 Last Name

* Student 2 Grade in Religious School

This is the same as your child's grade for the 2022-2023 secular school year unless you have made other arrangements with the religious school office.

* Student 2 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 2 Allergy/Medication Details

Student 3 Information

* Student 3 First Name

* Student 3 Last Name

* Student 3 Grade in Religious School

This is the same as your child's grade for the 2022-2023 secular school year unless you have made other arrangements with the religious school office.

* Student 3 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 3 Allergy/Medication Details

Student 4 Information

* Student 4 First Name

* Student 4 Last Name

* Student 4 Grade in Religious School

This is the same as your child's grade for the 2022-2023 secular school year unless you have made other arrangements with the religious school office.

* Student 4 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 4 Allergy/Medication Details

Section C: Release and Learning Commitment Forms

By signing my name below, my child(ren) have permission to participate in the Beth Hillel Bnai Emunah Academy. In consideration of my child(ren)'s acceptance as a religious school student, I hereby waive any and all claims against Beth Hillel Bnai Emunah, its agents and its employees that may arise out of any injury, loss or damage suffered by my child(ren) during any religious school activity. I hereby authorize the Director of Education, or person designated by the Director of Education, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of Illinois. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is(are) in good physical health. They have my permission to participate in all activities that are part of the regular religious school program.

* Release: Enter your name below

By typing my name, I confirm I have read, understand and agree to the above.

Learning Commitment

At BHBE we are committed to Lifelong Jewish learning and aim to provide all students this foundation in childhood. In order to become Bat/Bar Mitzvah at BHBE, we expect that students will attend a meaningful Jewish educational program in order to achieve this goal. Participation in the BHBE Academy twice a week from 3rd through 7th grade fulfills this requirement. Students are highly encouraged to attend through 8th grade and some or all of high school as well. If you have any issue or concern about this policy please be in touch with Aaron Frankel to discuss.

* Learning Commitment: Enter your name below

By typing my name, I confirm I have read, understand and agree to the above.

Media Release

From time to time your child’s photo may be taken in our classrooms or special events. We use these photos in the synagogue newsletter, on our synagogue display boards, the BHBE website as well as private Facebook groups and other publicity materials. I give permission for Beth Hillel Bnai Emunah to use pictures taken of my child during school activities for publicity both internal and external. Photos will not include your child's name unless explicit parents permission is granted.

* I give my permission for my child(ren)'s photo to be used:

Please Select OneYesNo

Section D: Congregation Community

We are often in need of regular volunteers to make our school work. Would you consider supporting our school in an ongoing role or a limited engagement?

Ongoing Opportunities (check all that apply)

Room ParentSubstitute TeachingYouth Group Chaperone

Any other skills or talents you might be willing to share?

Section E: Payment Information

In Jewish tradition, it is the job not only of parents but of the community to provide education for children. The BHBE community is committed to this obligation. As such, our Academy tuition only covers a portion of the cost of our religious school. Both fundraising efforts like the Gala and congregational dues heavily subsidize our children’s education. We are best able to plan appropriately when we know early on how many students to expect in each grade. As an incentive for you to register early, we offer a $50 early bird discount to families who register on or before June 15th. Regular fees go into effect on June 16th.

Grade	Timing	Tuition
K - 2	Sunday 9:00 - 12:00	$790
3-7	Sunday 9:00 - 12:00 Weekday 1-on-1 tutoring and Tuesday grade experiences	$1050
8	Sunday 9:00 - 12:00.	$790
9 - 12	Sunday 9:00 - 12:00	$315

To receive the early bird credit, type EARLYBIRD in the discount field on the next screen, and then click anywhere outside the field. (This $50 family discount will be available through June 15th, 2022.) You will also be able to pay by electronic check or credit card, set up payments plans and more. (A convenience fee is added for credit card payments, but not for ACH -- electronic checks.)

Total Amount