Home Donate About About Reconstructionism Our History Leadership Our Rabbi KHN Board Our Staff Membership Contact Us Spiritual Life Shabbat Services Holiday Celebrations Lifecycle Events Creating Our Sacred Space Learning Shul School Shul School Calendar Adult Education Bagel U Torah Study Get Involved Volunteering Mitzvot-Social Activism News Calendar Rabbi Janine's Messages Donate Life & Legacy Home Donate 2023-24 Religious School Registration Please verify reCaptcha before submitting the form. * Is your family new to our school?Please Select OneNoYes Section A: Family Contact Information * First Name (Primary)* Last Name (Primary)* Email (Primary)* Phone (Primary)* Relationship to Student(s) (Primary)* Street Address (Primary)Street Address Line 2 (Primary)* City (Primary)* State (Primary)--Select State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming* ZIP (Primary) * Is there a secondary contact?Please Select OneNoYes, at the same address as the primary contactYes, but at a different address than the primary contactIf there is a secondary contact, all emails and mailings will go to both contacts. In case of urgent need, the primary contact will be notified first* First Name (Secondary)* Last Name (Secondary)* Email (Secondary)* Phone (Secondary)* Relationship to Student(s) (Secondary)* Street Address (Secondary)Street Address Line 2 (Secondary)* City (Secondary)* State (Secondary)* ZIP (Secondary) * EMERGENCY CONTACT Name* EMERGENCY CONTACT Phone* EMERGENCY CONTACT Relationship Section B: Student Enrollment Information * How many children are being enrolled for the 2023-24 school year? Please Select One1 Child2 Children3 Children4 Children Student 1 Information * Student 1 First Name* Student 1 Last Name* Student 1 BirthdateStudent 1 Hebrew NameStudent 1 Nickname (if applicable)* Student 1 Grade in Secular SchoolPlease Select OneK1st2nd 3rd 4th 5th 6th 7th * Student 1 Secular School NameStudent 1 Email (if applicable)Information will not be shared publicly. Parents will be copied on all communication to students.Student 1 Phone (if applicable)Information will not be shared publicly. Students will not be contacted independently from parents.* Student 1 Special Learning NeedsPlease Select OneNoYes (IEP or 504)* Student 1 Allergies or MedicationsPlease Select OneNoYesDoes your child have allergies or medications we need to know about?Student 1 Allergy/Medication DetailsPlease describe allergies and medications with dosage and timing. Student 2 Information * Student 2 First Name* Student 2 Last Name* Student 2 BirthdateStudent 2 Hebrew NameStudent 2 Nickname (if applicable)* Student 2 Grade in Secular SchoolPlease Select OneK1st2nd3rd4th5th6th7th* Student 2 Secular School NameStudent 2 Email (if applicable)Information will not be shared publicly. Parents will be copied on all communication to students.Student 2 Phone (if applicable)Information will not be shared publicly. Students will not be contacted independently from parents.* Student 2 Special Learning NeedsPlease Select OneNoYes (IEP or 504)* Student 2 Allergies or MedicationsPlease Select OneNoYesDoes your child have allergies or medications we need to know about?Student 2 Allergy/Medication DetailsPlease describe allergies and medications with dosage and timing. Student 3 Information * Student 3 First Name* Student 3 Last Name* Student 3 BirthdateStudent 3 Hebrew NameStudent 3 Nickname (if applicable)* Student 3 Grade in Secular SchoolPlease Select One1st2nd3rd4th5th6th7th* Student 3 Secular School NameStudent 3 Email (if applicable)Information will not be shared publicly. Parents will be copied on all communication to students.Student 3 Phone (if applicable)Information will not be shared publicly. Students will not be contacted independently from parents.* Student 3 Special Learning NeedsPlease Select OneNoYes (IEP or 504)* Student 3 Allergies or MedicationsPlease Select OneNoYesDoes your child have allergies or medications we need to know about?Student 3 Allergy/Medication DetailsPlease describe allergies and medications with dosage and timing. Student 4 Information * Student 4 First Name* Student 4 Last Name* Student 4 BirthdateStudent 4 Hebrew NameStudent 4 Nickname (if applicable)* Student 4 Grade in Secular SchoolPlease Select One1st2nd3rd4th5th6th7th* Student 4 Secular School NameStudent 4 Email (if applicable)Information will not be shared publicly. Parents will be copied on all communication to students.Student 4 Phone (if applicable)Information will not be shared publicly. Students will not be contacted independently from parents.* Student 4 Special Learning NeedsPlease Select OneNoYes (IEP or 504)* Student 4 Allergies or MedicationsPlease Select OneNoYesDoes your child have allergies or medications we need to know about?Student 4 Allergy/Medication DetailsPlease describe allergies and medications with dosage and timing. Section C: Release Forms By signing my name below, my child(ren) have permission to participate in the Kehilat Hanahar Shul School. In consideration of my child(ren)'s acceptance as a shul school student, I hereby waive any and all claims against Kehilat Hanahar, 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 School Coordinator, or person designated by the School Coordinator, 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 Pennsylvania. 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 shul school program. * Medical Release: Enter your name belowBy 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 E-Bulletin (goes to members and non-members), on our synagogue website, our Facebook group and other publicity materials, including press releases to local newspapers. Media Release Permissions-Check all that applyI grant permission for my child's/children's image(s) to be used in the E-BulletinI grant permission for my child's/children's image(s) to be used on the website and social mediaI grant permission for my child's/children's image(s) to be used in publicity materialsI grant permission for my child's/children's image(s) to be used in newspapersI grant permission for all above uses, for all childrenI do NOT grant permission for my child's/children's image(s) to be used for ANY use Section D: Congregation Community You may have noticed that at the top of the form we begin with family information. This is intentional. The work of raising and educating Jewish children cannot be done in the school alone, but is a project of the school, the family and the community. You are not just registering your child(ren) for school today, but in fact your entire family. When you come in the building and spend time learning and volunteering with us, you make a powerful statement to your children that Jewish learning is a lifelong process and that we are all on the same team in creating these experiences for them. Don’t underestimate the subtle power of this statement! We have several days during the course of the year on which parents can participate in programs with students inside and outside of KHN. Please plan to join us on these days. In addition to those opportunities to participate we are 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)Project-PlanningEvent SetupTrip PlanningCurriculum PlanningLimited Engagements (check all that apply)Sukkah Set-up (or Party)Hanukkah Party PlanningPurim Carnival PlanningPurim Carnival Day Of SupportClass Mitzvah/Chesed Project PlanningOther Volunteer EventsAny other skills or talents you might be willing to share? Sun, October 6 2024 4 Tishrei 5785
Please verify reCaptcha before submitting the form.
By signing my name below, my child(ren) have permission to participate in the Kehilat Hanahar Shul School. In consideration of my child(ren)'s acceptance as a shul school student, I hereby waive any and all claims against Kehilat Hanahar, 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 School Coordinator, or person designated by the School Coordinator, 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 Pennsylvania. 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 shul school program.
From time to time your child’s photo may be taken in our classrooms or special events. We use these photos in the synagogue E-Bulletin (goes to members and non-members), on our synagogue website, our Facebook group and other publicity materials, including press releases to local newspapers.
You may have noticed that at the top of the form we begin with family information. This is intentional. The work of raising and educating Jewish children cannot be done in the school alone, but is a project of the school, the family and the community. You are not just registering your child(ren) for school today, but in fact your entire family. When you come in the building and spend time learning and volunteering with us, you make a powerful statement to your children that Jewish learning is a lifelong process and that we are all on the same team in creating these experiences for them. Don’t underestimate the subtle power of this statement! We have several days during the course of the year on which parents can participate in programs with students inside and outside of KHN. Please plan to join us on these days. In addition to those opportunities to participate we are in need of regular volunteers to make our school work. Would you consider supporting our school in an ongoing role or a limited engagement?
