Register for 2019-2020 SMP School Year Registration

Student Information

First Parent/Guardian Information

Second Parent/Guardian Information

Emergency Contact

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

Health Information

Does your child have any anaphylactic allergies/asthma?
Does your child have a prescription for an epi pen?
Does your child have an IEP or 504? If yes, please contact Risa Kessler at risak@adath.net or 952.215.3925.
 

 
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 be sure you have returned your paperwork. If you need additional copy of the paperwork, please contact Darlene Davis the Rabbis’ Assistant at darlened@adath.net

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

 
 
 
I give permission for Adath Jeshurun Congregation to use pictures or images of my minor child named in this application in any advertising, marketing, or promotional materials.

We agree as a family to:

 
 
 
 
 
* For 5th-7th grades: SMP tuition is included in the B’nai Mitzvah Agreement paperwork. Please be sure you have returned your paperwork. If you need additional copy of the paperwork, please contact Darlene Davis the Rabbis’ Assistant at darlened@adath.net