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Religious School Registration Form 2024-2025

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Student's Name *

First

Last

Hebrew Name *

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Current School (Fall 2024) *

Current Grade (Fall 2024) *

Student Email Address

Hebrew Lab (4th, 5th, and 6th Grade Only)

Students who attend Hasten Hebrew Academy of Indianapolis are exempt from Hebrew Lab.

Select your first choice for a Hebrew Lab time slot:

Select your second choice for a Hebrew Lab time slot:

Select your third choice for a Hebrew Lab time slot: (copy)

Emergency Contact Information

Parent 1 *

First

Last

Cell Phone (home phone if no cell) *

Parent 1 Email *

Parent 2

First

Last

Cell Phone (home phone if no cell)

Parent 2 Email

If child lives in two homes, please include the second address below:

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact 1 *

First

Last

Relationship to Child *

Phone *

Emergency Contact 2 *

First

Last

Relationship to Child *

Phone *

Best method of contact on Sunday mornings? *

Call
Text

Medical Information

Does your child have a pre-existing medical condition that might affect participation in Religious School activities? *

Yes
No

If yes, please describe:

Is your child currently taking any medication? *

Yes
No

If yes, please indicate name of medication(s), dosage, and medical condition:

Is your child allergic to any medications, foods, or environmental stimuli (e.g. bee stings)? *

Yes
No

If yes, please explain below:

Media Release

We sometimes take photographs during Religious School activities and/or special events. Do you give permission for your child's photo to be used in synagogue communications (newsletters, e-mails, website, social media, etc.) *

Yes
No

Signature

Typing your first and last name in this field serves as your signature for the entire form. *

Contact Us

We would love to speak with you.
Let us know what your interests are,
and we'll get back with you.

First Name

Last Name

Email

Phone Number

Area of Interest

How can I attend services at the synagogue? Can I schedule a meeting with the clergy or a staff member? I have another question and would like someone to get in touch.

At Beth-El Zedeck we live Judaism as the “evolving religious civilization of the Jewish people.”

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Quick Links

Watch Live
About Us
Membership
- Life Cycle Events
Calendar
Services
- Shabbat
- High Holy Days
- Healing
- Resources
- Children
- Minyan
- Visit
Learn
Bar/Bat Mitzvah
Volunteer
Shop
Give

Watch Live
About Us
Membership
- Life Cycle Events
Calendar
Services
- Shabbat
- High Holy Days
- Healing
- Resources
- Children
- Minyan
- Visit
Learn
Bar/Bat Mitzvah
Volunteer
Shop
Give

Get In Touch

600 W. 70th Street
Indianapolis, IN 46260

(317) 253-3441

Affiliated with the United Synagogue of Conservative Judaism and the Jewish Reconstructionist Federation