Hebrew School Registration 2016-2017

	REGISTRATION FEES (Must be paid at the time of registration)		TUITION (Due in September or on payment plan)
	MEMBER	NON-MEMBER+	MEMBER	NON-MEMBER +
Kindergarten & 1st grades	$100	$118	$200	$250
2nd Grade	$125	$135	$300	$350
3rd - 7th Grades	$125	$135	$860	$3,860
8th - 10th Grades	$50	$50	$425	$650
11th - 12th Grades	$25	$25	$175	$375

Please log in to your ShulCloud account to complete the form, make payments or add to your bill. This form should take about ten minutes to complete. You must pay the Registration Fee in order to register your child(ren). Tuition will be billed during the summer. If you have more than one child in grades 3-7 a discount for multiple children will be subtracted from your tuition statement.

CLASS SCHEDULES:

Kindergarten & 1st grades meet Sundays 9-11am

2nd grade meets Sundays 9-noon *

3rd-6th grades meet Sundays 9-noon and Tuesdays 4:15-6pm *

7th grade meets Sundays 9-noon and Tuesdays 4:15-6pm (note this is a new schedule)

8th-10th grades meet Tuesdays 6-8:00pm

11th-12th grades meet once a month on Tuesdays 7:00-8:00pm (new day & time)

+ The Non-Member rate applies to families who are not affiliated with any synagogue and those who are members of another synagogue.

* with additional on-line learning component

Parent/Guardian #1

* First Name

* Last Name

Address

Home Phone

* City

* Zip Code

* Relationship to Student(s)

Cell Phone #

Work Phone #

Home Phone

Email Address

New email?

Check this box if this is a new email address or if you have not been receiving reminders.

Parent/Guardian #2

* First Name

* Last Name

Address

Home Phone (if different from Parent #1)

* City

* Zip Code

New Email?

Check this box if this is a new email address or if you have not been receiving reminders.

Relationship to student

Cell Number

Work Number

* # 1 Child's Name

* Date of Birth

* Public School Grade as of Sept 2016

* Child's Hebrew Name

* Child's Dr.

* Dr's Phone

* Allergies to medications

* Allergies to Foods

EPI PEN

If my child requires an Epi Pen, I will supply the Educational Director a set of Epi Pens to keep at Neve Shalom along with a copy of my child's allergy action plan.

* Learning or Special Needs

Please list any learning or special needs or write "none."

This child has an IEP in Public School which I will share with the Ed DirectorThis child does NOT have an IEP

Emergency Contact Name

Emergency Contact Phone

2nd Child's name

Date of Birth

Public School Grade as of Sept 2016

Hebrew Name

Child's Doctor

Dr's Phone

Allergy to Medicines

Allergies To Foods

EPI PEN

If my child requires an Epi Pen, I will supply the Educational Director a set of Epi Pens to keep at Neve Shalom along with a copy of my child's allergy action plan.

Learning or Special Needs

Please list any learning or special needs..

The child has an IEP which I will share with the Ed DirectorThe child does not have an IEP

3rd Child's Name

Date of Birth

Public School Grade as of Sept 2016

Hebrew Name

Doctor

Dr's Phone

Allergies to Medicines

Allergies to Foods

EPI PEN

If my child requires an Epi Pen, I will supply the Educational Director a set of Epi Pens to keep at Neve Shalom along with a copy of my child's allergy action plan.

Learning or Special Needs

Please list any learning or special needs.

The child has an IEP which I will share with the Ed DirectorThe child does not have an IEP

Public School Grade as of Sept 2016

Hebrew Name

Doctor

Dr's Phone

Allergies to Medicines

Allergies to Food

EPI PEN

If my child requires an Epi Pen, I will supply the Educational Director a set of Epi Pens to keep at Neve Shalom along with a copy of my child's allergy action plan.

Learning or Special Needs

Please list any learning or special needs.

The child has an IEP which we will share with the Ed Dir.The child does not have an IEP

___________________

Please click the correct number of children in all grades below.

We are Neve Shalom MembersWe do not yet belong to any synagogueWe are member of Highland Park Conservative TempleWe are members of Temple Emanu-ElWe are members of Ansche Emeth Memorial TempleWe are members of Beth MordecaiWe are members of some other congregation or minyan

Kindergarten & 1st Grade Registration

2nd grade Registration

3rd-7th grade Registration

Grades 8-10 Registration

Grades 11-12 Registration

Donation to help pay for special Saturday Programs

Registration Total

If you click PAYPAL you can pay with a bank account or a credit card. Your charge will be listed as METUCHEN JEWISH COMMUNITY CENTER and a small "convenience fee" will automatically be added.

If you click "add to your account" you will be billed, although we would appreciate you sending or bringing a check as soon as possible. You must be logged into your ShulCloud account. Registration needs to be paid in order to enroll your child(ren).

Tuition Payments

I will pay tuition in full by SeptemberI will pay in three installments (Sept. Nov. Feb.)I will pay in monthly payments

The Registration Fees must be paid now to complete registration. Tuition will be billed during the summer. please let us know which payment plan you prefer. Discounts for multiple children in grades 3-7 will be subtracted from your tuition bill. There is no option to make 52 payments even if that appears on the form.

Thank you for registering for Hebrew School. If you have payment questions contact Lisa, (Bookkeeper@NeveShalom.net). If you have questions regarding educational content or issues with this online registration contact Hazzan Levin (Hazzan@NeveShalom.net)

Financial Assistance

If you require Financial Aid for dues and/or tuition, on the DUES form there will be an opportunity to request Financial Assistance and you will be contacted to adjust both your Dues and Tuition at the same time. This applies only to Neve Shalom members.

Saturday, February 25, 2017 • 29 Shevat 5777

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