Long Island's Oldest Synagogue. Renewed and Reinvigorated.

Hebrew School Registration 2017-2018

Student #1

Parent/Guardian #1

Emergency Contact

(other than parent)

Person(s) authorized to pick up my child(ren)

Medical Information

Please inform us of any allergies or medical condition that may impact your child including an EpiPen and allergy action plan. Please list any medications your child(ren) currently take(s).

In order to create the most successful learning experiences for your child(ren),​ please
inform us if your child is currently receiving special services in their secular school. If yes,
please specify and keep us updated throughout the year of any changes. If you would like to
discuss your child’s needs further, please contact the Hebrew School Director to set up an
appointment. 631.725.0904 ext. 2

Parent Release Form: Photo, Audio, and Electronic Media Release

Please enter your name

Volunteer for Hebrew School 2017-2018

We welcome parents, grandparents and congregant volunteers to enrich the lives of our students.
Help us with our Children’s Library, Holiday Celebrations, Shabbat Dinners, share your talents
with our students....

Information for Volunteer #1
Information for Volunteer #2
Student Information

Student Information

Hebrew School Tuition/Synagogue Membership

It is our policy at Temple Adas Israel that every Jewish child will receive a Jewish education and
no family is turned away from membership for want of funds. Synagogue membership is
strongly encouraged. Please speak to our Temple President Neal Fagin or Rabbi Dan Geffen
about synagogue membership.

Bar/Bat Mitzvah Students

The Family must be a paid member of Temple Adas Israel for two years preceding the Bar/Bat Mitzvah. Hebrew School tuition must be in good standing for at least the two years preceding the Bar/Bat Mitzvah.

Our annual Hebrew School Tuition Fee for the year 2017-2018 - $825.00

Payments may be made in installments over the year, by check or credit card.

Please make checks payable to Temple Adas Israel Hebrew School

Checks can be sent to:

Temple Adas Israel

PO Box 1378                                

Sag Harbor, NY  11963