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2025-26 Religious School Registration Form

PLEASE NOTE:

If you are a member of KILV, please log in at the upper right of this page before completing this form.  Thank you!

Section A: Family Contact Information
If there is a secondary contact, all emails and mailings will go to both contacts.
In case of urgent need, the primary contact will be notified first.
Section B: Student Enrollment Information
Student 1 Information
This address may be used to send homework and/or school updates.
If yes, please call the office if you would like to sit down with your child’s religious school teacher before the school year begins so that we are able to discuss the best ways to support your child.
Please describe special needs we will need to be aware of during Religious School activities.
Does your child have any serious allergies or medications we need to know about?
Please describe only allergies and medications we will need to be aware of during Religious School activities.
Student 2 Information
This address may be used to send homework and/or school updates.
If yes, please call the office if you would like to sit down with your child’s religious school teacher before the school year begins so that we are able to discuss the best ways to support your child.
Please describe special needs we will need to be aware of during Religious School activities.
Does your child have any serious allergies or medications we need to know about?
Please describe only allergies and medications we will need to be aware of during Religious School activities.
Student 3 Information
This address may be used to send homework and/or school updates.
If yes, Idit would like to sit down with you and your child’s religious school teacher before the school year begins so that we are able to discuss the best ways to support your child. 
Please describe special needs we will need to be aware of during Religious School activities.
Does your child have any serious allergies or medications we need to know about?
Please describe only allergies and medications we will need to be aware of during Religious School activities.
Student 4 Information
This address may be used to send homework and/or school updates.
If yes, please call the office if you would like to sit down with your child’s religious school teacher before the school year begins so that we are able to discuss the best ways to support your child.
Please describe special needs we will need to be aware of during Religious School activities.
Does your child have any serious allergies or medications we need to know about?
Please describe only allergies and medications we will need to be aware of during Religious School activities.
Section C: Insurance Information
Section D: Release Forms

By signing my name below, my child(ren) have permission to participate in the Congregation Keneseth Israel Religious School. I authorize the staff to obtain emergency medical care for my child(ren) in the event such care is indicated. I understand that every effort will be made to notify a parent/guardian prior to treatment.

By typing my name, I confirm I have read, understand and agree to the above.
Do you give permission for your student to appear in these publications?
Section E: Payment Information
Please pay your deposit using a credit card on the next payment screen. 

In order to bill this to your account, you must be LOGGED IN. If you have never logged in or need instructions to get logged in to your account, please contact the office at (610) 435-9074
Please enter the name of the existing family that referred you.
Fri, June 27 2025 1 Tammuz 5785