Beth Israel Religious School (BIRS) Registration Form 2023-2024/5784

School registration is available online. For non-members please review the form
and contact Jerry Sorokin, Executive Director.

Registration Information

2023-2024 Beth Israel members in good standing may apply to Beth Israel Religious School.
Parents must return a completed 2023-2024 Beth Israel Dues Form and pay prior year's tuition balance by the first day of BIRS.
To apply for a Beth Israel Religious School scholarship or to make special payment arrangements our Executive Director, Jerry Sorokin. No child will be denied a Jewish education for financial reasons. All financial issues are kept strictly confidential. Parents must apply for a scholarship each year, otherwise they will be billed full tuition. Please complete the form even if you are waiting for a financial decision.
To bill your tuition fees to your account, you must be logged into your account. Please contact the office if you have any difficulties logging in.

Tuition Rates:

Gan - $218
Kindergarten - $540
1st Grade - $540
2nd Grade - $918
3rd Grade - $918
4th Grade - $918
5th Grade - $918
6th Grade - $980
7th Grade - $980
8th Grade - $518
High School - $518

* Is your family new to our school?

Please Select OneNoYes

Section A: Family Contact Information

* First Name (Primary)

* Last Name (Primary)

* Email (Primary)

* Phone (Primary)

* Relationship to Student(s) (Primary)

* Street Address (Primary)

Street Address Line 2 (Primary)

* City (Primary)

* State (Primary)

* ZIP (Primary)

* Is there a secondary contact?

Please Select OneNoYes, at the same address as the primary contactYes, but at a different address than the primary contactIf there is a secondary contact, all emails and mailings will go to both contacts. In case of urgent need, the primary contact will be notified first

* First Name (Secondary)

* Last Name (Secondary)

* Email (Secondary)

* Phone (Secondary)

* Relationship to Student(s) (Secondary)

* Street Address (Secondary)

Street Address Line 2 (Secondary)

* City (Secondary)

* State (Secondary)

* ZIP (Secondary)

* Emergency Contact Name

* Emergency Contact Phone

* Emergency Contact Relationship

Section B: Student Enrollment Information

Student 1 Information

* Student 1 First Name

* Student 1 Last Name

* Student 1 Birthdate (MM/DD/YYYY)

* Student 1 Hebrew Name

Student 1 Nickname (if applicable)

* Student 1 Grade at BIRS

This is the same as your child's grade for the 2023-2024 secular school year unless you have made other arrangements with the religious school office.

* Grade at Secular School

* Student 1 Secular School Name

Student 1 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 1 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 1 Special Learning Needs

Please Select OneNoYes (IEP or 504)If yes, Jerry Sorokin would love to discuss with you the best way to meet your child's needs. If you are comfortable we invite you to send any documentation ahead of time to gsorokin@bethisrael-aa.org.

* Student 1 Medical Information

Please Select OneNoYesDoes your child have allergies or medical conditions we need to know about?

Student 1 Medical Information Details

Please describe any allergies or medical conditions we need to know about.

Any other skills or talents you might be willing to share?

Student 2 Information

* Student 2 First Name

* Student 2 Last Name

* Student 2 Birthdate (MM/DD/YYYY)

* Student 2 Hebrew Name

Student 2 Nickname (if applicable)

* Student 2 Grade in Religious School

This is the same as your child's grade for the 2023-2024 secular school year unless you have made other arrangements with the religious school office.

* Grade at Secular School

* Student 2 Secular School Name

Student 2 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 2 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 2 Special Learning Needs

* Student 2 Medical Information

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 2 Medical Information Details

Please describe any allergies or medical conditions we need to know about.

Any other skills or talents you might be willing to share?

Student 3 Information

* Student 3 First Name

* Student 3 Last Name

* Student 3 Birthdate (MM/DD/YYYY)

* Student 3 Hebrew Name

Student 3 Nickname (if applicable)

* Student 3 Grade in Religious School

This is the same as your child's grade for the 2023-2024 secular school year unless you have made other arrangements with the religious school office.

* Grade at Secular School

* Student 3 Secular School Name

Student 3 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 3 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 3 Special Learning Needs

* Student 3 Medical Information

Please Select OneNoYesDoes your child have allergies or medical conditions we need to know about?

Student 3 Medical Information Details

Please describe any allergies or medical conditions we need to know about.

Any other skills or talents you might be willing to share?

Student 4 Information

* Student 4 First Name

* Student 4 Last Name

* Student 4 Birthdate (MM/DD/YYYY)

* Student 4 Hebrew Name

Student 4 Nickname (if applicable)

* Student 4 Grade in Religious School

This is the same as your child's grade for the 2023-2024 secular school year unless you have made other arrangements with the religious school office.

* Grade at Secular School

* Student 4 Secular School Name

Student 4 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 4 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 4 Special Learning Needs

* Student 4 Medical Information

Please Select OneNoYesPlease describe any allergies or medical conditions we need to know about.

Student 4 Medical Information Details

Please describe any allergies or medical conditions we need to know about.

Any other skills or talents you might be willing to share?

Section C: Release Forms

By signing my name below, my child(ren) have permission to participate in the religious school of Beth Israel Congregation. In consideration of my child(ren)'s acceptance as a religious school student, I hereby waive any and all claims against Beth Israel Congregation, its agents and its employees that may arise out of any injury, loss or damage suffered by my child(ren) during any religious school activity. I hereby authorize the Director of Education, or person designated by the Director of Education, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of Michigan. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is(are) in good physical health. They have my permission to participate in all activities that are part of the regular religious school program. Field trips may be arranged by Beth Israel Congregation, and transportation may include bus or vehicle driven by a classmate's parent or guardian.

* Medical Release: Enter your name below

By typing my name, I confirm I have read, understand and agree to the above.

Media Release

From time to time your child’s photo may be taken in our classrooms or special events. We use these photos in the synagogue newsletter, on our synagogue display boards, the BIC website as well as private Facebook groups and other publicity materials.

* I give my permission for my child(ren)'s photo to be used:

Please Select OneOn any materialsOn materials with identifying informationOn materials without identifying informationOn synagogue materials (not public forum) onlyI do not give my permission for my child’s image to be used

Section E: Financial Information

►To bill your tuition fees to your account or to set up scheduled payments, you must first be logged into your account. If you have any issues logging in, please contact the office for assistance.
►To apply for a Beth Israel Religious School scholarship or to make special payment arrangements, please contact Executive Director Jerry Sorokin. No child will be denied a Jewish education for financial reasons. All financial issues are kept strictly confidential. Parents must apply for a scholarship each year, otherwise they will be billed full tuition. Please complete the form even if you are waiting for a financial decision.

Scholarship Fund (Optional Donation)

Teacher Professional Development and Training (Optional Donation)

Total Amount

Please note that to bill your tuition to your account or to set up scheduled payments, you must be logged into your account. Please contact the office if you need assistance.

BIRS Registration 2023-2024

Beth Israel Religious School (BIRS) Registration Form 2023-2024/5784