CBHCS Student Registration 2021-22 - Form

For questions regarding CBHCS Registration please contact our Education Director, Kate Hennessey at education@cbhatlanta.org

For questions regarding payment, please contact the CBH Administrator, Julie Lakric at admin@cbhatlanta.org or 404.315.6446

Instructions

Step 1. Fill out the parent information info. To add a second parent, click the plus sign under "Add Parent."

Step 2. Fill out the "Child's Information" section. To do this, click the plus sign under "To add a student, click +." You can use the plus sign to add multiple children, if you are registering more than one child.

Step 3. Go to our payment page [linked here and also highlighted in yellow below] IF YOU PLAN TO PAY IN FULL. Otherwise, please email Julie Lakric, our administrator at admin@cbhatlanta.org. She will help you set up a payment plan and answer any payment-related questions you have.

After filling out the form below, please proceed to the payment page here https://www.congregationbethaverim.org/form/cbhcs-2021-payments.html

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Mobile Phone

* Parent 1 Address

* City

* State

* Zip

Parent 2

Parent First name

Parent Last Name

Best Phone Number

Alternate Phone Number

Parent Address

Parent City

Parent State

Parent Zip Code

* Emergency Contact First & Last Name

Emergency contact is someone other than the parent/guardian.

* Emergency Contact Phone Number

* Emergency contact relationship to child

Please fill out one form for all children.
To add a child's information, click the + button.

* Are you a CBH Member?

Please Select Oneyes I am a memberNo I am not a member

Students may attend the CBH Community School for up to one school year
as a non-member. You must become a member of CBH in order to re-enroll your child. To join, please contact the CBH Office at 404.315.6446.

Child’s Information - to add all of your children in this form at one time PLEASE HIT THE PLUS SIGN to add as many children as you need.

The more information we have, the better we can help your child to feel at home at CBH! Below you will find questions that will help us better understand and plan for your child. All information will be kept strictly confidential.

To Add A Student, click +

* Student First Name

* Student Last Name

* Birthday (hover over box and click on "down arrow" to see months)

* CBH Grade for THE UPCOMING SCHOOL YEAR, 2022-23

* What are your child's pronouns?

Weekday School your child attends

Other Pronouns:

Favorite School Subjects and After School Activities

Your Child's Hebrew Skill Level:

No BackgroundBasicOn LevelAdvanced

Choose one

Would you describe your child as an:

IntrovertExtrovert

Previous Religious School Experience Outside of CBH (include name of school and years).

List any environmental, food, medicine, or other allergies and any other food restrictions: (i.e. vegetarian)

List any medical concerns or medications which may affect your child's classroom experience:

List any physical restrictions/limitations your child has that may affect their experience.

If Yes, please describe below:

If yes, does your child have an IEP (Individualized Education Plan)?

YesNo

If Yes, please describe below:

What types of things motivate your child?

Does your child prefer more or less structured learning environments?

Please list two to three goals you have for your child in our program.

Is there anything you want us to consider in terms of classroom assignments? (WE CAN MAKE NO GUARANTEES ABOUT CLASSROOM PLACEMENT)

TO ADD ANOTHER CHILD, CLICK THE PLUS SIGN BELOW

Photo Consent

I do give consentI do NOT give consent

Please check preference above regarding permission for your child (listed above) to be photographed during the Community School hours and/or at other synagogue functions, and for these photographs to be used on the CBH website, in brochures, advertisements, or other synagogue related purposes with the sole discretion of the CBH Community School.

Parent Signature

Signature for consent/no consent for photos of child.

Date

PARENT PARTICIPATION

Parent Participation is a vital part of life of the the CBH Community School. Your participation is critical to the strength of our program. Please indicate the areas in which you would be willing to help. We greatly appreciate your involvement and support!

* Holiday Volunteering

HanukkahTu BShevatPurimPassover

Substitute or Full time Teacher

We are always looking for parents interested in helping out as teachers or as substitutes. Substitute teachers receive $22.50 per hour and are paid for 4 hours of work. Lesson plans and class lists are provided, and there is generally a teen helper in each classroom to help things run smoothly.

Substitute Teacher: Check box if interested

Community School Family Engagement Committee

These parents support the Community School, creating opportunities that allow families to connect with each other and with the school — from room parents to faculty and special activities.

I am interested in the CBHCS Family Engagement Committee

Special Talents

Please let us know of any special talents you may have that could be used as a resource to work with our kids occasionally.

Special Talents: