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Hebrew School Registration  Child Information (Please complete one form for each child in your family) Name: (Last) _____________________ (First) _______________________ Hebrew Name: ________________________________________________ Birth date: (mm/dd/yyyy) ___/___/____ Age: _____ Sex: M / F Grade as of September _____ Secular School: _____________________ B’nai Mitzvah date (if determined) __________________________________  Family Information Parent/Guardian 1: (Last) _________________ (First) __________________ Home Address: _________________________________________________ City: ___________________ Zip: ________ Email: ____________________ Home Phone: ____________ Day Phone: ____________ Cell: ___________ Best way to contact in an emergency: _______________________________ Parent/Guardian 2: (Last) _________________ (First) __________________ Home Address: _________________________________________________ City: _________________ Zip: ________ Email: ______________________ Home Phone: ____________ Day Phone: ____________ Cell: ___________ Best way to contact in an emergency: _______________________________ Child resides with: Both parents ¨ Parent 1 ¨ _____Parent 2 ¨ _____ Previous Religious and Hebrew training: Provide a brief description of (if any) your child’s religious and/or Hebrew training/education to this point._____________________________________ _____________________________________________________________
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Please inform us of any special considerations your child may require (including, learning needs, food allergies, etc.): ________________________ _____________________________________________________________
Parents Volunteer Policy Because Kol Ami’s Hebrew School operates on an all volunteer basis, parents are expected to volunteer to be present for the full Hebrew School session about 3-4 times per school year. Parents will be asked to sign up on the first day of class. Emergency Policy In the event of a life threatening health emergency Kol Ami Northern Virginia Reconstructionist Community (NVRC) teachers and lay leaders are authorized to engage 911 services. Parents and/or guardians will be contacted immediately if such an event occurs. Snow / Weather Cancellation Policy If classes are cancelled due to weather or other emergency parents will be notified via email and an announcement on www.kolaminvrc.org. Contact your child(s) teacher(s) if you have questions. Enrollment Policy You must be a member in good standing in Kol Ami NVRC before registration can be accepted. All tuitions and fees as determined by Kol Ami NVRC must be paid in full at the beginning of the school year unless other arrangements have been made with Kol Ami NVRC’s Treasurer. Parent or Guardian’s Signature (Signifies acceptance of policies contained herein. Registration does not guaranty acceptance into Hebrew School program.) Parent 1: ______________________________ Date: __________________ Parent 2: ______________________________ Date: __________________
Click here to return to Children's Programs Page URL: http://kolaminvrc.org/forms/HS Registration.htm Last updated: 09/24/2007 © copyright 2006 Northern Virginia Reconstructionist Community |