CBI Bet Sefer/Religious School 2025-26 Registration

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Beth Israel Bet Sefer/ Religious School 2025-26

Registration Form For Religious School

* How many children are you registering for Religious School?

Parent/Guardian Information:

* Parent/Guardian 1: First Name

* Parent/Guardian 1: Last Name

* Relationship of Parent/Guardian 1 to the child:

* Street Address of Parent/Guardian 1

* Email address for Parent/Guardian 1:

* Cell phone for Parent/Guardian 1:

Parent/Guardian 2: First Name

Parent/Guardian 2: Last Name

Relationship of Parent/Guardian 2 to the child:

Street Address of Parent/Guardian 2

Email address for Parent/Guardian 2:

Cell phone for Parent/Guardian 2:

* First Name - Child 1

* Last Name - Child 1

* Date of Birth- Child 1

Please enter Hebrew name of 'Child 1'(if known):

* I am registering 'Child 1'

Please Select OneCBIMember tuition of $600 plus $54 materials feeCommunity member tuition of $828 plus $72 materials feePlease note that while CBI membership is not a requirement for enrollment initially, it is a requirement for at least 1 year prior to your child becoming a Bar or Bat Mitzvah. There is also an additional $180 Mitzvah year fee that will be assessed that year only.

* First Name - Child 2

* Last Name- Child 2

* Date of Birth - Child 2

Please enter Hebrew name of 'Child 2' (if known):

* I am registering 'Child 2' :

Please Select OneCBI Member tuition of $600 plus $54 materials feeCommunity Member tuition of $828 plus $72 Materials fee

* First Name - Child 3

Last Name - Child 3

Date of Birth - Child 3

Please enter Hebrew name of 'Child 3' (if known)

* I am registering 'Child 3' ?:

Please Select OneCBI Member tuition of $600 plus $54 materials feeCommunity Member tuition $828 plus $72 materials fee

A full schedule for the year will be sent out prior to September 1. We will make every effort to minimize changes. We hope that you can attend the monthly Sunday program, 1x month Friday evening Shabbat service with Vegetarian/Dairy Potluck to follow, and the twice monthly Shabbat morning programs along with weekly Hebrew. While we don't take attendance like formal secular school, we do highly recommend attending as often as possible to maximize your child's education.

* Parent Volunteering

Would you be interested in volunteering to help with Friday Night Potlucks or in another capacity?

Congregation Beth Israel Use of Images in the Media:

Congregation Beth Israel, its employees, or agents have the right to take photographs, videotape, or digital recordings ("Images") of me or my child and to use these in any and all media exclusively for the purpose of communicating the educational activities of the Shul. I do hereby release to Congregation Beth Israel, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately. I wave any rights, claims, or interest I may have to control the use of my image in whatever media used. Child last names will not be used with media images.

* Use of Images in Media

Please Select OneYes, I do hereby consent and agree with the statement below and allow the use of images of myself or my child in the media.No, I do not consent to the use of images of myself or my child in the media.

Consent for Emergency Medical Treatment of 'Child 1'

* Emergency Treatment Consent

Yes, I give my consent for emergency medical treatment of my child as outlined belowNO, I do NOT give my consent for emergency medical treatment of my child.

IF REASONABLE ATTEMPTS TO REACH ME FAIL, I HEREBY GIVE MY CONSENT FOR:
1. The administration of any treatment deemed necessary by the medical professionals I have listed as my child's physician in the "emergency contacts" section of this enrollment form.
2. If my designated medical professional is not available, by another medical professional; and
3. The transfer of my child to any hospital reasonably accessible.

* Parent/Legal Guardian Name:

Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment

Additional Information about 'Child 1'

* What secular school is 'Child 1' enrolled in?

* Does 'Child 1' have an IEP, 504 Plan, or other academic plan in place in their secular school?

Please Select OneYesNo

If yes, please provide a brief overview about 'Child 1' and the Religious School Director will reach out to you.

The Religious School Director will reach out to you to learn more and create a plan to meet your child's needs.

* Is there anything we need to know or be sensitive to concerning the emotional or behavioral well-being of 'Child 1' ?

Please Select OneYesNo

If yes, please provide information on the emotional or behavioral well-being of 'Child 1'.

The Religious School Director will reach out to you to learn more and create a plan to meet your child's needs.

* Does 'Child 1' have any food allergies or any other health concerns that could affect them at Religious School??

Please Select OneYesNo

If yes, please provide specific information about 'Child 1' allergies or conditions:

If your child has a food allergy, we require that an unopened EpiPen pack along with instructions and contact phone numbers be provided to the office in a plastic zip-lock bag.

If there is a chance that your child will need medication, such as an inhaler for asthma, during school hours, please provide the office with an unopened package of the medication, instructions and contact phone numbers in a plastic zip-lock bag.

Would you like to share any other information that will help us create a safe, effective, and meaningful educational experience for 'Child 1'?

Emergency Contact Information of Child 1:

Name of 'Child 1' Primary Physician

Phone number of 'Child 1' Primary Physician

Primary Emergency Contact of 'Child 1'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship of Primary Emergency Contact to 'Child 1'

For example: Aunt, Uncle, Cousin, or friend

Primary Emergency Contact Phone Number

Secondary Emergency Contact of 'Child 1'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship of Secondary Emergency Contact to 'Child 1'

For example: Aunt, Uncle, Cousin, or friend

Emergency Secondary Contact Phone Number of 'Child 1'

Consent for Emergency Medical Treatment for 'Child 2'

Emergency Treatment Consent

Yes, I give my consent for emergency medical treatment of my child as outlined belowNO, I do NOT give my consent for emergency medical treatment of my child.

Parent/Legal Guardian Name:

Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment for 'Child 2'.

Additional Information about Child 2

What secular school is 'Child 2' enrolled in

* Does 'Child 2' have an IEP, 504 Plan, or other academic plan in place in their secular school?

Please Select OneYesNo

* If yes, please provide a brief overview about 'Child 2' and the Religious School Director will reach out to you.

* Is there anything we need to know or be sensitive to concerning the emotional or behavioral well-being of 'Child 2'?

Please Select OneYesNo

If yes, please provide information on the emotional or behavioral well-being of 'Child 2'.

The Religious School Director will reach out to you to learn more and create a plan to meet your child's needs.

* Does 'Child 2' have any food allergies or any other health concerns that could affect them at Religious School?

Please Select OneYesNo

If yes, please provide specific information about 'Child 2' allergies and conditions:

If your child has a food allergy, we require that an unopened EpiPen pack along with instructions and contact phone numbers to be provided to the office in a plastic zip-lock bag.

If there is a chance that your child will need medication, such as an inhaler for asthma, during school hours, please provide the office with an unopened package of the medication, instructions and contact phone numbers in a plastic zip-lock bag.

Would you like to share any other information that will help us create a safe, effective, and meaningful educational experience for 'Child 2' ?

* Is ALL of the Emergency Contact information for 'Child 2" the same as 'Child 1'?

Please Select OneYesNoThis includes: Primary Physician and 2 non-parent/guardian emergency contacts.

Emergency Contact Information for the Child 2:

Name of 'Child 2' Primary Physician

Phone number of 'Child 2' Primary Physician

Primary Emergency Contact of 'Child 2'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship to Primary Emergency Contact of "Child 2"

For example: Aunt, Uncle, Cousin, or friend

Primary Emergency Contact Phone Number

Secondary Emergency Contact of 'Child 2'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship to Secondary Emergency Contact to 'Child 2'

For example: Aunt, Uncle, Cousin, or friend

Secondary Emergency Contact Phone Number of 'Child 2'

Consent for Emergency Medical Treatment of Child 3

Emergency Treatment Consent

Yes, I give my consent for emergency medical treatment of my child as outlined belowNo, I do NOT give my consent for emergency medical treatment of my child.

Parent/Legal Guardian Name:

Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment for the 3rd child.

Additional Information about Child 3

What secular school is 'Child 3' enrolled in

* Does 'Child 3' have an IEP, 504 Plan, or other academic plan in place in their secular school?

Please Select OneYesNo

* If yes, please provide a brief overview about 'Child 3' and the Religious School Director will reach out to you.

* Is there anything we need to know or be sensitive to concerning the emotional or behavioral well-being of 'Child 3'?

Please Select OneYesNo

If yes, please provide information on 'Child 3' emotional or behavioral well-being.

* Does your 'Child 3' have food allergies or any other health concerns that could affect them at Religious School?

Please Select OneYesNo

If yes, please provide specific information about 'Child 3' health concerns.

Please share any other information that will help us create a safe, effective, and meaningful educational experience for 'Child 3':

* Is ALL of the Emergency Contact information for the 'Child 3' the same as for Child 1 and/or Child 2?

Please Select OneYesNoOnly choose "Yes" if ALL of the information (Primary Physician, Dentist, and both Emergency Contacts) are exactly the same.

* Please choose from below:

Please Select OneEmergency Contact Information is the same as the First ChildEmergency Contact Information is the same as the Second Child

Emergency Contact Information for the Child 3:

Name of 'Child 3' Primary Physician

Phone number of 'Child 3' Primary Physician

Primary Emergency Contact of 'Child 3'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship to Primary Emergency Contact of 'Child 3'

For example: Aunt, Uncle, Cousin, or friend

Primary Emergency Contact Phone Number

Secondary Emergency Contact of 'Child 3'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship to Secondary Emergency Contact to 'Child 3'

For example: Aunt, Uncle, Cousin, or friend

Secondary Emergency Contact Phone Number of 'Child 3'

Total Tuition for all children:

The above amount is the total for Religious School Tuition for all children registered

I will pay my tuition as follows:

Please Select OneI will pay by credit card - please charge the card linked to my ShulCloud AccountI-will-pay-by-credit-card---I-will-call-the-office-828-252-8660-to-provide-the-card-informationl-will-pay-by-check---I-will-send-my-check-to-the-OfficePlease charge my ShulCloud accountMy family would benefit from a scholarship

Please note that finances will never stand in the way of your child's Religious Education at Beth Israel. If you would benefit from or would like to discuss a scholarship, please let us know by checking the Scholarship option above and someone from our office will be in touch.

For any other questions or assistance, please call our office at 828-252-8660.

Thank you!

Tue, September 23 2025
1 Tishrei 5786

Today's Calendar

Rosh Hashana

Tashlich

High Holiday registration 5786/2025

: 7:00pm

Candle Lighting

: 8:08pm

Friday Night

Candle Lighting

: 7:04pm

Shabbat Day

Havdalah

: 8:10pm

Upcoming Programs & Events

Sep

High Holiday registration 5786/2025
Tuesday, Sep 23 7:00pm

Oct

Break-the-Fast 2025/5786
Thursday, Oct 2 8:00pm

Dec

Hanukkah Party
Sunday, Dec 21 4:00pm

This week's Torah portion is Parshat Vayeilech

Shabbat, Sep 27

Candle Lighting

Tuesday, Sep 23, 7:08pm

Havdalah

Wednesday, Sep 24, 8:14pm

Rosh Hashana & Tashlich

Tuesday, Sep 23

View Calendar

Why ShulCloud?

Zmanim

Alot Hashachar	6:03am
Earliest Tallit	6:32am
Netz (Sunrise)	7:19am
Latest Shema	10:20am
Zman Tefillah	11:21am
Chatzot (Midday)	1:22pm
Mincha Gedola	1:53pm
Mincha Ketana	4:54pm
Plag HaMincha	6:10pm
Candle Lighting	8:08pm
Shkiah (Sunset)	7:26pm
Tzeit Hakochavim	8:04pm
More >>

Tue, September 23 2025 1 Tishrei 5786

229 Murdock Avenue, Asheville, NC 28804
828-252-8660
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