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Beth David Hebrew School Registration Form 5780 (2019-2020)

Student Information

Parent Information

Medical Information

Emergency Contact

My child has permission to ride in private automobiles of faculty, parents and friends to and from school field trips and I hereby release the school/synagogue and all such drivers from any and all liabilities incurred by reason or injury to our child while being transported by such means. I understand that I will receive notice and sign a permission slip for any such trips. Further, in the event that I can’t be reached in any emergency, I hereby give permission to Beth David Synagogue personnel to seek medical treatment as needed. 
I am aware that pictures of my child may be taken at Beth David Religious School and at other synagogue related events. 
I give permission for pictures to be used by Beth David Synagogue for the synagogue bulletin/website and other social media sites. The pictures will be used for the purpose of illustrating the activities affiliated with both the school and the synagogue. Children will not be identified by name and names will not be posted. 

Payment Options
Tuition for our Hebrew School (2nd - 7th grade) is $300. 
If financial commitment is a concern, please contact Jason at
Mon, May 20 2024 12 Iyyar 5784