Kesher Hebrew School Registration

Synagogue Affiliation *

School Attending *

Grade *

Hebrew Reading Fluency *

Hebrew Speaking Fluency *

Please share any goals you have for your child attending Kesher *

If Kesher offered more than one day per week would you be interested? There would be an extra tuition cost *

Yes

No

Maybe

List any prior Judaic learning year child has done *

Check below if you can volunteer to help Kesher. Please choose one or more ways you can be of help *

Recruit students from among your friends and community

Help at a family event

Photography and online publicity

Other

Other volunteer *

Any medical conditions or allergies? *

Would you like to donate to our scholarship fund? *

Yes. Please send me a link to donate

Not at this time

Please follow up with me in the future, but I cannot right now.

Other

Other - donate *

Authorization *

On behalf of myself, my heirs, executors, administrators, and assigns hereby RELEASE, DISCHARGE, WAIVE AND RELINQUISH any and all claims, known or unknown, including, but not limited to claims of negligence, or causes of action for personal injury, property damage or wrongful death, arising from my participation in Kesher Hebrew School at HILLEL's facilities, or any activities incidental thereto, against either Jewish Education Works, HILLEL HEBREW ACADEMY or their representatives, including, without limitation, all parent, subsidiary, and affiliated organizations, their respective agents, employees, servants, directors officers, attorneys, assigns and successors, and each of them. I understand that by my or my children's participation I consent to be photographed or video taped for use in promotion of Kesher Hebrew School's activities.

I AGREE TO THE ABOVE LIABILITY RELEASE

Kesher Hebrew School Registration Form

Yad Menachem