Register for 2018-2019 SMP School Year Registration

Monday Jan 1st at 12:00am to Friday Sep 7th at 12:00am

Teen Information

Parent/Guardian Information

First Parent/Guardian Information

Second Parent/Guardian

Health Information

 
 

Emergency Contact

Emergency contact (other than parents) in case of illness. This person must be able to come and pick up your child.
Emergency contact (other than parents) in case of illness. This person MUST be able to come and pick up your child.
 

 
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.
 

Please read and sign to show you have read the following:

 
 
 
 

We agree as a family to: