Religious School Enrollment

Please make sure that you have all needed information before you start the form. You cannot save this form, and come back to it later to complete.

Parent/Guardian Section

Parent/Guardian #1

Parent/Guardian #2


Emergency Contact Section

Please note, the emergency contact information will be the same for each child you register. If you would like different information for each child, please contact the temple office.

Emergency Contact #1

Emergency Contact #2


Child Number One Section

Child's Information #1


Religious School Emergency Medical Release

In the event that the parent, guardian, or physician cannot be reached, I will assume financial responsibility for treatment rendered at this time


Does your child have or has s/he ever had any of the following?

Add another child

Child Number Two Section

Child's Information #2

Religious School Emergency Medical Release

In the event that the parent, guardian, or physician cannot be reached, I will assume financial responsibility for treatment rendered at this time

Does your child have or has s/he ever had any of the following?

Add another child Remove Child

Child Number Three Section

Child's Information #3

Religious School Emergency Medical Release

In the event that the parent, guardian, or physician cannot be reached, I will assume financial responsibility for treatment rendered at this time

Does your child have or has s/he ever had any of the following?

Add another child Remove Child

Child Number Four Section

Child's Information #4

Religious School Emergency Medical Release

In the event that the parent, guardian, or physician cannot be reached, I will assume financial responsibility for treatment rendered at this time

Does your child have or has s/he ever had any of the following?

Add another child Remove Child

Child Number Five Section

Child's Information #5

Religious School Emergency Medical Release

In the event that the parent, guardian, or physician cannot be reached, I will assume financial responsibility for treatment rendered at this time

Does your child have or has s/he ever had any of the following?

Remove Child

A House of Prayer for All People

The place to connect, to learn, and to make a difference.

Become a Member