IHRL Registration Form 2021-2022

WELCOME TO THE 2021-2022 ROADRUNNERS LEAGUE!

Member of Ohr HaTorah Synagogue?
Please log in to your account
for more billing options

Please let us know your financial needs.
No one is turned down for financial reasons.

Tuition varies by grade and number of children enrolled, please choose appropriate selection in the financial section below.

2021-2022 Rates

	Grade 7 (Tue & Sat)	Grade 3 - 6 (Tue & Sat)	T (2.5 yr.) - Grade 2 (Sat. only)
1st Child	$2,927	$1,777	$1,144
2nd Child	$2,754	$1,604	$1,035
Each Addl.	$2,524	$1,449	$937

2021-2022 Early Bird Rates (10% Discount - If enrolled before May 15, 2021)

	Grade 7 (Tue & Sat)	Grade 3 - 6 (Tue & Sat)	T (2.5 yr.) - Grade 2 (Sat. only)
1st Child	$2,634	$1,599	$1,030
2nd Child	$2,479	$1,444	$932
Each Addl.	$2,272	$1,304	$844

Parents' Information:

* Parent #1 First Name

* Parent #1 Last Name

Hebrew Name

* Phone Number

* Email Address

Parent #2 First Name

Parent #2 Last Name

Hebrew Name

Phone Number

Email Address

* Address for Student(s)

* City

* Zip

* Child Lives With:

Both ParentsParent # 1Parent # 2

* Language Spoken at Home:

Religious Background:

* Mother:

Jewish by BirthJewish by ChoiceOther

* Father:

Jewish by BirthJewish by ChoiceOther

Emergency Contact Information:

* Contact Name:

* Contact Phone:

* Child's Doctor

* Doctor's Phone

Guardian's Name:

Guardian's Phone:

Guardian's Name:

Guardian's Phone:

* Anything Else We Need to Know?

Student Information:

* How many children applying?

Please Select One123

Child 1:

* Child 1 - First Name:

* Child 1 - Last Name:

* Child 1 - DOB:

* Child 1 - Age:

Child 1 - Hebrew Name:

* Has your child attended another Hebrew or Religious School?

Please Select OneNoYes

* Name of school:

* Years and Grades Attended

Hebrew Knowledge Information:

Provide us with your child's proficiency level in Hebrew.

* Knowledge of Jewish Holiday Rituals and Meanings?

Extensive knowledgeSome knowledgeLittle knowledgeNone

* Torah and Synagogue Prayer Service Knowledge:

Extensive KnowledgeSome KnowledgeNone

General Information:

* How does your child learn best?

* What methods of learning are counter productive for your child?

* Any special educational needs?

* Learning or behavior issues?

* My child has an IEP (and I will share it with the Ed Dir.)

* Allergies to Medications?

* Allergies to Foods?

Child 2:

Child 2 - First Name:

Child 2 - Last Name:

Child 2 - DOB:

Child 2 - Age:

Child 2 - Hebrew Name:

Has your child attended another Hebrew or Religious School?

NoYes

Name of school:

Years and Grades Attended:

Child 2 - Hebrew Knowledge Information:

Provide us with your child's proficiency level in Hebrew.

Knowledge of Jewish Holiday Rituals and Meaning?

Extensive knowledgeSome knowledgeLittle knowledgeNone

Torah and Synagogue Prayer Service Knowledge:

Extensive KnowledgeSome KnowledgeNone

Child 2 - General Information:

How does your child learn best?

What methods of learning are counter productive for your child?

Any special educational needs?

Learning or behavior issues?

This child has an IEP (which I will share with the Ed Dir)

Allergies to Medications?

Allergies to Foods?

Child 3:

Child 3 - First Name:

Child 3 - Last Name:

Child 3 - DOB:

Child 3 - Age:

Child 3 - Hebrew Name:

Has your child attended another Hebrew or Religious School?

NoYes

Name of school:

Years and Grades Attended:

Child 3 - Hebrew Knowledge Information:

Provide us with your child's proficiency level in Hebrew.

Knowledge of Jewish Holiday Rituals and Meaning?

Extensive knowledgeSome knowledgeLittle knowledgeNone

Torah and Synagogue Prayer Service Knowledge:

Extensive KnowledgeSome KnowledgeNone

Child 3 - General Information:

How does your child learn best?

What methods of learning are counter productive for your child?

Any special educational needs?

Learning or behavior issues?

This child has an IEP (which I will share with the Ed Dir)

Allergies to Medications?

Allergies to Foods?

Financial Section:

Tuition* varies by grade and number of children enrolled per family. Please choose appropriate selection below.
*Must be paid with registration.

PK - 2nd Grade Payment:

3rd - 6th Grade Payment:

7th Grade Payment:

First Child $1,144

First Child $1,777

First Child $2,927

Includes $1,000 B'nei Mitzvah Fee*.
*This covers all work involved in coordination, planning and administration of the B'nei Mitzvah ceremony.

PK - 2nd Grade Payment:

3rd - 6th Grade Payment:

7th Grade Payment:

Second Child $1,035

Second Child $1,604

Second Child $2,754

Includes $1,000 B'nei Mitzvah Fee*.
*This covers all work involved in coordination, planning and administration of the B'nei Mitzvah ceremony.

PK - 2nd Grade Payment:

3rd - 6th Grade Payment:

7th Grade Payment:

Additional Child $937

Additional Child $1,449

Additional Child $2,524

Includes $1,000 B'nei Mitzvah Fee*.
*This covers all work involved in coordination, planning and administration of the B'nei Mitzvah ceremony.

Referred by:

Please let us know what family (if any), led you to IHRL.
(One family only.)

* Signature

* Date

Member of Ohr HaTorah Synagogue? Please log in to your account for more billing options

Please let us know your financial needs. No one is turned down for financial reasons. Tuition varies by grade and number of children enrolled, please choose appropriate selection in the financial section below.

Parents' Information:

Religious Background:

Emergency Contact Information:

Student Information:

Child 1:

Hebrew Knowledge Information:

General Information:

Child 2:

Child 2 - Hebrew Knowledge Information:

Child 2 - General Information:

Child 3:

Child 3 - Hebrew Knowledge Information:

Child 3 - General Information:

Financial Section:

PK - 2nd Grade Payment:

3rd - 6th Grade Payment:

7th Grade Payment:

PK - 2nd Grade Payment:

3rd - 6th Grade Payment:

7th Grade Payment:

PK - 2nd Grade Payment:

3rd - 6th Grade Payment:

7th Grade Payment:

Member of Ohr HaTorah Synagogue?
Please log in to your account
for more billing options

Please let us know your financial needs.
No one is turned down for financial reasons.

Tuition varies by grade and number of children enrolled, please choose appropriate selection in the financial section below.