Register for B'Yachad Sunday School 17-18

Payment is due at the time of registration.

Parent/Guardian Information

Second Parent/Guardian


Submit Your Response

I understand that by submitting this form, I am agreeing to the terms of enrollment for my child to be in the Adath Jeshurun B'Yachad Sunday School Program for 2017-18 and committing to paying the tuition. This fee can be paid with a credit card through PayPal. Please contact Annette Rose at or 952.217.3320 if you have any questions about payment. This form is due by August 28, 2017. For your child's registration to be recorded by the system, online payment must be completed, or other arrangements must be made. We can't wait to welcome you!

Emergency Contact

Emergency contact (other than parents) in case of illness. This person must be able to come and pick up your child.
Adath Jeshurun celebrates the inclusion of people of all abilities. To discuss your child's needs, please contact Annette Rose at or

Confidential Student Profile


Permission & Policies

I understand that for my child’s protection, Adath cannot let students leave the program building without written permission from a parent or legal guardian. I understand that a parent or guardian must come in and pick up my child if I have not sent a note.
I give the Education Staff of Adath Jeshurun Congregation permission to communicate in writing and verbally with Talmud Torah of Minneapolis, Sha’arim, HMJDS, Talmud Torah of St. Paul or Torah Academy about my child’s academic progress. This information will be kept confidential and will be used to help plan my child’s learning at Adath.
I give permission for Adath Jeshurun Congregation to use pictures or images of my minor child named in this application in synagogue materials.