May 7, 2009

Dear Parent and Friend:

Shalom! This letter announces the commencement of our registration process for the school year 2009/2010.
The Tuition Schedule for the coming year is attached. In order to keep tuition costs the same as last year, it was decided
to remove the last time slot (from 6:00 PM – 6:40 PM) of Hebrew instruction on Mondays and Wednesdays, but if no
other time slot is possible, we may be able to arrange a 6:00 PM time slot one day a week.

New Students: If you are registering your child for Grade four or higher and your child has had no formal religious
instruction, please attach a note stating as such. If your child has attended religious school at another institution, please
attach a note and last year’s report card (if possible). Depending on an assessment of your child’s skills, grade level
placement will be at the discretion of the Religious School Principal. Proper class placement is necessary to help students
have a good experience and will generate positive feelings for Jewish education. We will do all we can to make sure your
child’s experience at the Judy and Ronald Mack School of Religious Studies is a pleasant and successful one. We will
need your commitment to see that it happens.

To complete the enclosed registration form, please use the following grade/track information:
Kitah PreK: Sunday Only [9:00 AM – 12:00 PM]
Kitah Gan (K): Sunday Only [9:00 AM – 12:00 PM]
Kitah Alef (1): Sunday Only [9:00 AM – 12:00 PM]
Kitah Bet (2): Sunday Only [9:00 AM – 12:00 PM]

Please Note: For Monday and Wednesday tracks, instruction will be in 40-minute time slots, 4:00-4:40, 4:40-5:20,
5:20-6:00. A maximum of five students will be in each time slot, so please give your first, second and third
preference. Students will be assigned slots on a first-come, first-serve basis.

Students in Grades three-seven will attend two shabbatonim (weekend retreats) each year
The cost of the shabbatonim is included in the tuition.

Kitah Gimmel (3): Sunday plus EITHER Monday OR Wednesday [4:00, 4:40, 5:20]
Kitah Dalet (4): Sunday plus EITHER Monday OR Wednesday [4:00, 4:40, 5:20]
Kitah Hay (5): Sunday plus EITHER Monday OR Wednesday [4:00, 4:40, 5:20]
Kitah Vav (6): Sunday plus EITHER Monday OR Wednesday [4:00, 4:40, 5:20]
Kitah Zayin (7): Sunday plus EITHER Monday OR Wednesday [4:00, 4:40, 5:20]

Midrasha Leadership Program (8-12): Monthly [Sunday, 9:00 – 10:00 AM] (Subject to change.)
Midrasha Teaching Assistant Program (8-12): Sunday 9:00 AM – 12:00 PM

If you have any questions or concerns about registration, please do not hesitate to call the Religious School Office at
(702) 804-1333, ext. 124 or email rsinfo@bethsholomlv.org.

B’Shalom,

Jennifer Weiss,
Religious and Youth Educator
 Schedule of Tuition – 2009/2010
Judy and Ronald Mack School of Religious Studies

Tuition (1) Early Bird Discount (2) Multiple Child Discount (3)

Pre-Kindergarten $565 ($25) ($25)

Gan (Kindergarten) $565 ($25) ($25)
Aleph (First Grade) $565 ($25) ($25)
Bet (Second Grade) $565 ($25) ($25)
Gimmel (Third Grade) $955 ($25) ($25)
Dalet (Fourth Grade) $955 ($25) ($25)
Hay (Fifth Grade) $955 ($25) ($25)
Vav (Sixth Grade) $955 ($25) ($25)
Zayin (Seventh Grade) $955 ($25) ($25)

Midrasha Leadership Program $300 ($25) ($25)

(8th – 12th Grades)
Midrasha Teaching Assistant Program(4) Salary
(8th – 12th Grades) $15/Sunda
y

Notes:
1. Tuition includes the $200 non-refundable deposit, books, materials, food and snacks associated with RS
activities and Family Educational Programs.

2. In order to receive an “Early Bird Discount”, tuition – paid in full – must be received by June 1, 2009.

3. The “Multiple Child Discount” applies only to the second, third, fourth, etc., child. Full tuition will be
charged to the first sibling.

4. Must also enroll in Midrasha Leadership Program.

5. A non-refundable $200.00 deposit is required with the acceptance of registration applications.

6. Enrollment/Registration forms will be accepted only for members in good standing, i.e. a zero
balance. Should you have special needs or questions please contact the Executive Director of
Temple Beth Sholom.

7. Tuition balances must be paid by December 1, 2009

The Judy and Ronald Mack School of Religious Studies
Temple Beth Sholom
10700 Havenwood Lane, Las Vegas, NV 89135
Telephone: (702) 804-1333, ext. 114 Fax: (702) 243-8796
rsinfo@bethsholomlv.org www.bethsholomlv.org

Religious School 2009-2010

1. NAME Last
First Middle Hebrew

2. ADDRESS
Street City State Zip Code

3. HOME PHONE ( ) E-Mail (Student) E-Mail (Parent)

4. BIRTHDATE AGE _________ CIRCLE: MALE FEMALE

5. DAY SCHOOL DAY SCHOOL GRADE IN 09-10

6. RELIGIOUS SCHOOL GRADE (please circle) Gan (K) Alef Bet Gimmel Dalet Hay Vav Zayin
Midrasha

7. All RS Classes will meet on Sunday mornings. Students in Grades 3-7 must choose Monday or
Wednesday as their second day. Please check one: MONDAY WEDNESDAY

Please number your time preferences from 1 - 3. We will do our best to accommodate your
choices; time slots are limited to 5 students per grade, and preferences will be granted on a
first-come, first serve basis.
Time Slot: ___ 4:00-4:40 pm ___ 4:40-5:20 pm ___ 5:20-6:00 pm

8. NAME OF PARENT OR GUARDIAN Full Name

Daytime Phone # Cell Phone

9. NAME OF PARENT OR GUARDIAN

Full Name Daytime Phone
# Cell Phone #

10. PARENTS' MARITAL STATUS: MARRIED  DIVORCED  SINGLE 

WITH WHOM IS STUDENT LIVING?

11. IF PARENTS UNREACHABLE IN EMERGENCY, CALL ( ) Name / Relationship

to Student Telephone #

12. Is there any other information about your child that will help us meet his or her educational needs? If so,
please explain:

 Placement of children in a particular class is at the discretion of our Religious School Principal.
 It is understood and agreed that designees of the principal may photograph, film, videotape, audiotape or reproduce
written materials of the applicant for use in publications and publicity.
 It is understood and agreed that student contact information – including phone numbers and addresses – will be given
out in the form of a class list or in response to a classmate’s request to send an invitation for a celebration, such as
Bar/Bat Mitzvah.
 If and when the need for medical and/or surgical attention arises during the period of my child's official participation
in the Judy and Ronald Mack School of Religious Studies, I hereby grant permission for my child to be transported by
private vehicle or ambulance to an appropriate medical facility and to be treated by qualified medical authorities at
their discretion and that of the program leaders.
I am enclosing a non-refundable deposit in the amount of $200 payable to Temple Beth Sholom.
FINAL PAYMENT is due by December 1, 2009.

 Please bill my deposit to my credit card, # (Visa or

 M/C Only)
Exp. Date CCV#____________ Billing Zip Code: _____________

Signature of Parent Date

 Judy and Ronald Mack School of Religious Studies
Medical Release Form

________________________________
Student’s Name (PRINT)
ALLERGIES TO MEDICATION AND FOOD

Does your child suffer from any allergies? (e.g. bee sting, medications, etc.) Y N

If yes, please explain

NON-PRESCRIPTION MEDICATIONS
My child has my permission to self-administer the following non-prescription medications:

Medication Reason for Medication Dosage

PRESCRIPTION MEDICATIONS

My child has my permission to self-administer the following prescription medications:

\
Medication Reason for Medication Dosage

My child does NOT have my permission to self-administer prescription medications.

MEDICAL INSURANCE

Medical Insurance Company Phone

Policy Group Number
Insurance Company Address
Physician’s Name Phone
Physician’s Address

Signature of Parent/Guardian Date