2024-25 Temple Israel of Riverhead Hebrew School Registration
Temple Israel of Riverhead, 490 Northville Tpke, PO Box 1531, Riverhead, NY 11901
https://www.templeisraelriverhead.org/

Our Hebrew School is child-friendly and student-focused. Our caring, trained staff members work with small groups to foster positive experiences with Jewish culture, holidays and customs, as well as with Hebrew language and prayer education.

Registering children age 5-12 (entering Kindergarten in September 2024, and older)
Focus on aleph bet, holidays, customs, traditional prayers, and Bar/Bat Mitzvah preparation.
Meets every Wednesday, 4:15-5:15 PM, starting September 11, 2024

Class Dates for the 2024-25 School Year
September 11, 18, 25; October 9, 30; November 6, 13, 20; December 4, 11, 18; January 8, 15, 22, 29; February 5, 12, 26; March 5, 12, 19, 26; April 2, 9, 23, 30; May 7, 14, 21, 28.

Dates subject to change

Registration is ongoing.

If you are interested in programs for additional age groups, contact the Temple office below.

For more information, please contact the Temple Office: 631-727-3191, TempleIsraelRH@optonline.net
Sign in to Google to save your progress. Learn more
Email *
REGISTRATION 2024-25
Please complete this form electronically and send $180 annual fee per child at your earliest convenience.
Or by check: checks can be made payable to Temple Israel of Riverhead and mailed to:
PO Box 1531
Riverhead, NY 11901
STUDENT INFORMATION
Child's First Name *
Child's Last Name *
Child's Hebrew Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Age as of September 1, 2024 *
Grade School Name and Grade *
Child Allergies *
HOUSEHOLD INFORMATION
Family Origin *
Does the student have any siblings? If so, please share the names and DOB of all siblings *
Mailing Address *
City *
State *
Zip Code *
PARENT INFORMATION
Parent 1 Full Name *
Parent 1 Hebrew Name *
Parent 1 Cell Phone *
Parent 1 Email *
Parent 2 Full Name *
Parent 2 Hebrew Name
Parent 2 Cell Phone *
Parent 2 Email *
PRIMARY CONTACT FOR HEBREW SCHOOL
If the primary contact for Hebrew School is someone other than Parent 1 and Parent 2, please notate here.
Primary Contact Full Name
Primary Contact Relationship to Student
Primary Contact Email 
Primary Contact Cell Phone
ADDITIONAL EMERGENCY CONTACT INFORMATION
Emergency Contact 1 (Name, Cell Number, Relationship to Child) - this is an additional contact in case of emergency (in case of emergency, the parents/guardians and/or primary contact would be called first) *
Emergency Contact 2 (Name, Cell Number, Relationship to Child) - this is an additional contact in case of emergency (in case of emergency, the parents/guardians and/or primary contact would be called first) *
Please note any special conditions, concerns, or comments here. All information will be held in the strictest confidence. Thank you.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy