Religious School Interest Form

* Adult 1 First Name

* Adult 1 Last Name

* Adult 1 Email

Adult 1 Phone

Is there a second adult in your family?

Adult 2 First Name

Adult 2 Last Name

Adult 2 Email

Adult 2 Phone

* How many children are in your family?

Child 1 Name

Child 1 Date of Birth

Child 1 Grade as of September 2024

Child 2 Name

Child 2 Date of Birth

Child 2 Grade as of September 2024

Child 3 Name

Child 3 Date of Birth

Child 3 Grade as of September 2024

Child 4 Name

Child 4 Date of Birth

Child 4 Grade as of September 2024

How did you hear about Temple Israel?

Are you currently a member of another synagogue? If so, where?

Tell us about your family!

Tue, January 21 2025 21 Tevet 5785