RLWRS Registration Form 2025-2026 Grades K-7
Please fill out one registration form for each student. Contact information is confidential.
Sign in to Google to save your progress. Learn more
Student’s Full English Name *
Student’s Full Hebrew Name *
Student’s Gender Identity
Student’s Gender Pronouns  (e.g. she, he, they)
Student’s  Date of Birth (month/day/year) *
Student’s Grade in September

(Kindergarteners must be 5 years old by September 1, 2025.)

 *
Address *
Parent 1 English Name (first and last)  *
Parent 1 Full Hebrew Name (if any)  *
Parent 1 Religion *
Parent 1 Cell Phone *
Parent 1 Email Address *
Parent 2 English Name (first and last) 
Parent 2 Full Hebrew Name (if any) 
Parent 2 Religion
Parent 2 Cell Phone
Parent 2 Email Address

My child(ren) may also be picked up from school by the following people:

Please list name, relationship and phone number

RLWRS will not release a student to anyone not listed on the student’s registration form. To update the list after you have submitted this form, please contact the principal.

 *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Myshul.org.

Does this form look suspicious? Report

Google Forms