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Oseh Shalom Religious School Student Registration

Thank you for registering your child for school at Oseh Shalom.

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Parent's information


Emergency Medical Information for my Children
(If children have different info, that can be captured for each child in the next section.)
I hereby give consent for (1) administration of emergency medical treatment, and (2) the transfer of my child to a nearby hospital. Facts concerning my child's medical history including allergies, medications being taken and physical impairment to which a medical specialist should be alerted are listed below.
Emergency Contact Information

Student Information

Student Information
i.e. grandmother

Oseh Upper School Check all that Apply: Note- 8-12 Graders May Choose up to Three options. (Teen programming meets on alternate days/times)

Focus - Social Connection, Tzedakah, Art, Israel, Synagogue Projects, Student Leadership and More. 
Meets 1st, 3rd and 5th Sundays 10:45 - 11:30am
Focus -Experiencing Judaism, Jewish History, Modern Hebrew Conversation, Torah, Jewish Values and More.
Meets 2nd and 4th Sundays 10:45 - 11:30am
Additional Emergency Medical Information
Please indicate Changes to Insurance and/or Doctors,
Special Services Information/Education Plan
Additional Emergency Contact Information
Please include Emergency Contact Name(s), Phone, Relationship to child and email addresses
Next Student
Mon, June 17 2024 11 Sivan 5784