Religious School Registration Form 2024-2025
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Student's Name
Date of Birth
Address

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

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

Emergency Contact Information

Parent 1
Parent 2
If child lives in two homes, please include the second address below:
Emergency Contact 1
Emergency Contact 2
Best method of contact on Sunday mornings?

Medical Information

Does your child have a pre-existing medical condition that might affect participation in Religious School activities?
Is your child currently taking any medication?
Is your child allergic to any medications, foods, or environmental stimuli (e.g. bee stings)?

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.)

Signature