Adat Shalom-Beth Achim Learning Community Student Registration 2021-2022
With our COVID-19 Protocols in place, classes are set to meet as follows:

Sundays: 9 a.m. to noon, in person, grades PK-6

Mondays: 6 p.m. to 7:30 p.m., in person, grades 7-12 (WITH DINNER)

Wednesdays, 5 p.m. to 6 p.m., ONLINE, grades 2-7

ELECTIVE SCHEDULES:

Mondays 5 to 6 p.m. (Minecraft begins at 4:30)
Welcome to our registration form.
If you have questions, please contact us at 248-626-2153 or email sshapiro@adatshalom.org
Contact Information
Street Address *
City/State/Zip *
Parent 1 Name *
Parent 1 Email *
Parent 1 Cell Phone *
Parent 2 Name
Parent 2 Email *
Parent 2 Cell Phone
Parent Marital Status *
Child(ren) live(s) with: *
If Parent 2 has a different address, please enter it below
Street Address
City/State/Zip
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