CBS Religious School Application 2024-2025

Dear Families,

Welcome to a new year of Jewish learning at CBS! We are delighted to partner with your family in creating meaningful and fun Jewish experiences as we build community, gain Jewish knowledge, and strive to make the world a better place for all people.

To enroll in CBS Religious School (Religious School, B’nai Mitzvah tutoring, or Confirmation Class) please complete this application. Clergy and teachers will review these applications to place students in the proper education level.

Education of our youth is a priority at CBS. The cost of tuition should not deter a child from attending. As such, we have removed a formal fee structure for our Religious School and Confirmation classes for CBS Member Families. Instead, we are happily accepting any and all donations of any amount at any point in the year.

Our Religious School programs are available to children of CBS members in good standing. The exception to this is that the first year of Religious School is available to non-CBS members for a fee of $300 per child.

In the past, we have covered these costs through a structured fee program where each family was assessed a specific fee for each child. Under our new structure, families are not assessed a fee per child for Religious School and Confirmation classes, but instead are encouraged to contribute as they are able. Under our current enrollment, the cost to operate our Religious School and Confirmation classes comes out to approximately $300 per student. Please keep this number in mind as you consider making donations.

Starting this school year, we will offer parents a choice of Hebrew instructors. All of these instructors have extensive experience and work well with Rabbi Kerber. We are pleased that Jed Filler has agreed to remain as one of our instructors and he is eager to continue with his current students. In keeping with this approach, we will be moving away from the current model where parents pay a flat fee of $800 per year to CBS for Hebrew instruction. Instead, we will be adopting a model where families pay a Hebrew instructor directly for their child's lessons.

Please register your child for Religious School by completing the digital application on our website or by sending the completed forms to Corey Gilman, Talmud Torah, 4000 W 106th St, Suite 125-118, Carmel, IN 46032.

To make a donation to Religious School, please log into your ShulCloud account and make arrangements for your payment via credit card, debit card, or echeck! You may also write a check payable to Congregation Beth Shalom and include a notation that it is for Religious School. Mail your check to Congregation Beth Shalom, ATTN: Treasurer, 4000 W 106th, Suite 125-118, Carmel, IN 46032.

Shalom,

Rabbi Justin Kerber
Corey Gilman, Religious School Director
Brian Epstein, CBS President

If you have any questions or would like to follow up on your application after submitting, please reach out to Corey Gilman at coreygilman@gmail.com.

* Is this your first time registering your student(s) for Religious School programs at CBS?

Please Select OneYesNo

Student 1 Information

* Please select the group your child will be enrolled in for the 2024-25 year.

Please Select OneReligious SchoolB'nai Mitzvah Training (Hebrew tutoring)Confirmation

* What school district is your child currently enrolled in?

Secular School

* What previous Jewish education has your child experienced?

Tot ShabbatReligious SchoolHebrew SchoolOtherCheck all that apply.

* If your child has experienced Jewish education other than that previously listed, please provide more detail here.

* On a scale of 1 to 5, to what degree has your child experienced Jewish holidays and rituals at home?

Please Select One1 - We have not been observing Jewish holidays and rituals.2 - We observe very few Jewish holidays and rituals.3 - We observe some Jewish holidays and rituals.4 - We observe most Jewish holidays and rituals.5 - We observe all Jewish holidays and rituals.

Student First Name

Student Last Name

Preferred Pronouns

Date of Birth

Does your student have a Hebrew name? If your student does not have a Hebrew name, are you interested in meeting with our clergy to discuss a Naming Ceremony for your student?

Please Select OneYes, we are interested in connecting with clergy and staff.Our student has been given their Hebrew name.

What is your student's Hebrew name?

Student Email

Student Cell Phone Number

Let us know more about your student! What are their passions? Their personality? Their talents?

We strive to partner with families to create a supportive and nurturing environment for all learning style. Our teachers understand all students learn differently. This is what makes them such great individuals in our community. Let us know if your student has an IEP, 504, or Student Learning plan - please provide any information you think may be helpful for us to know about your student. Please contact our Talmud Torah Director (coreygilman@gmail.com) with your student's learning plan and any other classroom ideas you would like to bring forward to our Education team. Together, we will create a great learning plan for your student.

Does your student have any allergies we should be aware of?

Please select one.YesNo

Please list your student's allergy(ies) below. Does your student take any medication/allergy supplies?

In the case of emergency, please list how any emergency medication should be administered or what staff should relay to first responders.

Is there anything else that the teachers should be aware of (e.g., toileting issues, food preferences, speech or hearing issues, medical considerations)?

Student lives with...

Please name the individuals who are allowed to pick up your child from CBS Religious School classes and their phone numbers.

Please be aware that only people on your list will be allowed to pick up your child(ren). Those not specifically documented will not be allowed to pick up your children without written permission. Please notify anyone that you designate below that they may be called if they are needed and make sure that you have current phone numbers on file with us at all times.

Please attach a photo of your student for our class records.

Student 2 Information

* Please select the group your child will be enrolled in for the 2023-24 year.

Please Select OneReligious SchoolB'nai Mitzvah Training (Hebrew tutoring)Confirmation

* What school district is your child currently enrolled in?

Secular School

* What previous Jewish education has your child experienced?

Tot ShabbatReligious SchoolHebrew SchoolOtherCheck all that apply.

* If your child has experienced Jewish education other than that previously listed, please provide more detail here.

* On a scale of 1 to 5, to what degree has your child experienced Jewish holidays and rituals at home?

Student First Name

Student Last Name

Preferred Pronouns

Date of Birth

Does your student have a Hebrew name? If your student does not have a Hebrew name, are you interested in meeting with our clergy to discuss a Naming Ceremony for your student?

Please select one.Yes, we are interested in connecting with clergy and staff.Our student has been given their Hebrew name.

What is your student's Hebrew name?

Student Email

Student Cell Phone Number

Let us know more about your student! What are their passions? Their personality? Their talents?

Does your student have any allergies we should be aware of?

Please select one.YesNo

Please list your student's allergy(ies) below. Does your student take any medication/allergy supplies?

In the case of emergency, please list how any emergency medication should be administered or what staff should relay to first responders.

Is there anything else that the teachers should be aware of (e.g., toileting issues, food preferences, speech or hearing issues, medical considerations)?

Student lives with...

Please name the individuals who are allowed to pick up your child from CBS Religious School classes and their phone numbers.

Please attach a photo of your student for our class records.

Student 3 Information

* Please select the group your child will be enrolled in for the 2024-25 year.

Please Select OneReligious SchoolB'nai Mitzvah Training (Hebrew tutoring)Confirmation

* What school district is your child currently enrolled in?

Secular School

* What previous Jewish education has your child experienced?

Tot ShabbatReligious SchoolHebrew SchoolOtherCheck all that apply.

* If your child has experienced Jewish education other than that previously listed, please provide more detail here.

* On a scale of 1 to 5, to what degree has your child experienced Jewish holidays and rituals at home?

Student First Name

Student Last Name

Preferred Pronouns

Date of Birth

Does your student have a Hebrew name? If your student does not have a Hebrew name, are you interested in meeting with our clergy to discuss a Naming Ceremony for your student?

Please select one.Yes, we are interested in connecting with clergy and staff.Our student has been given their Hebrew name.

What is your student's Hebrew name?

Student Email

Student Cell Phone Number

Let us know more about your student! What are their passions? Their personality? Their talents?

Does your student have any allergies we should be aware of?

Please Select OneYesNo

Please list your student's allergy(ies) below. Does your student take any medication/allergy supplies?

In the case of emergency, please list how any emergency medication should be administered or what staff should relay to first responders.

Is there anything else that the teachers should be aware of (e.g., toileting issues, food preferences, speech or hearing issues, medical considerations)?

Student lives with...

Please name the individuals who are allowed to pick up your child from CBS Religious School classes and their phone numbers.

Please attach a photo of your student for our class records.

Student 4 Information

* Please select the group your child will be enrolled in for the 2023-24 year.

Please Select OneReligious SchoolB'nai Mitzvah Training (Hebrew tutoring)Confirmation

* What school district is your child currently enrolled in?

Secular School

* What previous Jewish education has your child experienced?

Tot ShabbatReligious SchoolHebrew SchoolOtherCheck all that apply.

* If your child has experienced Jewish education other than that previously listed, please provide more detail here.

* On a scale of 1 to 5, to what degree has your child experienced Jewish holidays and rituals at home?

Student First Name

Student Last Name

Preferred Pronouns

Date of Birth

Does your student have a Hebrew name? If your student does not have a Hebrew name, are you interested in meeting with our clergy to discuss a Naming Ceremony for your student?

Please select one.Yes, we are interested in connecting with clergy and staff.Our student has been given their Hebrew name.

What is your student's Hebrew name?

Student Email

Student Cell Phone Number

Let us know more about your student! What are their passions? Their personality? Their talents?

Does your student have any allergies we should be aware of?

Please Select OneYesNo

Please list your student's allergy(ies) below. Does your student take any medication/allergy supplies?

In the case of emergency, please list how any emergency medication should be administered or what staff should relay to first responders.

Is there anything else that the teachers should be aware of (e.g., toileting issues, food preferences, speech or hearing issues, medical considerations)?

Student lives with...

Please name the individuals who are allowed to pick up your child from CBS Religious School classes and their phone numbers.

Please attach a photo of your student for our class records.

Family Information

* Parent or Guardian 1 First Name

* Parent or Guardian 1 Last Name

* Primary Phone

* Preferred Email

* Primary Address

* Preferred Method of Contact

PhoneEmail

* Parent or Guardian 2 First Name

* Parent or Guardian 2 Last Name

* Primary Phone

* Preferred Email

* Primary Address

* Preferred Method of Contact

PhoneEmail

Are there any additional individuals you would like to include in our Religious School communications? Please provide their name, email, and relationship to your student(s).

Emergency Contact

Your emergency contact should not be the primary or secondary parent guardian listed above.

* Emergency Contact 1 First Name

* Emergency Contact 1 Last Name

* Emergency Contact 1 Mobile

* Emergency Contact 1 Email

* Relation to Student

* Emergency Contact 2 First Name

* Emergency Contact 2 Last Name

* Emergency Contact 2 Mobile

* Emergency Contact 2 Email

* Relation to Student

2024-2025 Religious School Parental Consent

* I give my permission for Congregation Beth Shalom to use my child(ren)'s photos and/or name in publicity materials, which may include social media, the CBS website, printed materials, and press releases.

2023-2024 Student Photo Permission

2024-2025 Religious School Application Acknowledgment

* I (we) have completed the Application for Enrollment in CBS Religious School and have read and understand the application. Our family (adults and children alike) understands our commitment to CBS and accepts those commitments.

* By selecting "Yes" and submitting this application, I hereby agree to and accept the terms and conditions stated above.

Enrollment

Mon, April 28 2025 30 Nisan 5785