Hebrew High Registration 2023-2024 - Form

Welcome to Hebrew High's online registration form! We are excited for the 2023-2024 school year! Hebrew High’s primary program meets on Wednesday Nights from 7:00-8:30pm. It begins with a communal dinner at 7:00pm and continues with a one-hour class from 7:30pm-8:30pm. The year is divided into three trimesters and teens can choose from a variety of classes each trimester. Classes are taught by our wonderful Hebrew High faculty as well as by all the clergy from both Temple Beth El and Temple Israel. Teens can sign up for the whole year or for individual trimesters. We hope that this change will allow teens who have seasonal commitments to join us for part of the year.

Hebrew for Credit continues on Wednesday Nights from 5:00-7:00pm. This program allows all students to take Modern Hebrew and have it count towards the Charlotte Mecklenburg Schools or Union County Public School language requirement. All students are welcome to register, even if they do not attend a CMS/UCPS school.

Hebrew High is partnering again with the nationally renowned organization, Moving Traditions, to offer monthly Rosh Hodesh (girls) and Shevet (boys) groups for 8th and 9th graders on Sunday evenings from 5:00-7:00pm. These groups use Jewish teachings and a gender lens to explore issues teens care about such as friendship, body image, pressure, and relationships. These groups are led by Hebrew High faculty who are trained by the staff at Moving Traditions. (Hebrew High can also help teens connect with an online Tzelem group for trans, non-binary or gender questioning teens.)

Below are the different payment options for the 2023-2024 school year:

Temple Beth El and Temple Israel Members:
Hebrew for Credit: $275
Full Year: $650
One Trimester + 6 Special Program Days: $300
Two Trimesters + 6 Special Program Days: $550
Moving Traditions Program: $200

Unaffiliated Members:
Hebrew for Credit: $275
Full Year: $750
One Trimester + 6 Special Program Days: $325
Two Trimesters + 6 Special Program Days: $600
Moving Traditions Program: $250

Chaverim of Hebrew High (Friends of Hebrew High): $36

Once you complete the entire registration form, you will be directed to a secure payment page. A receipt will be generated after completion of payment information.

Once the registration form is received, please allow 1-2 business days before you receive a class sign up form.

Withdrawals prior to September 27, 2023 will receive a refund minus a $50 administrative fee. No refunds can be given after September 27, 2023.

Please note, while Hebrew High is a joint venture of Temple Israel and Temple Beth El, Hebrew High’s registration is handled by Temple Beth El’s accounting office. The registration link will take you to Temple Beth El’s Shulcloud Website.

If you have any questions, please contact Megan Harkavy, Director - 5007 Providence Road, Suite 108, Charlotte, NC 28226 / 980-483-7162; mharkavy@hebrewhigh.org / www.hebrewhigh.org / www.facebook/NCHebrewHigh / @hebrewhighNC (Instagram)

Student Information:

Student Name:

First Name

Last Name

Student Address:

Street Address

Address Line 2

City

State

Zip Code

Student Cell Phone:

Student Cell Phone Number (Please provide us with your TEEN's cell, not your phone number.)

Student Email:

Student Temple Affiliation:

Student Date of Birth:

Student's School:

Student's Grade in school for 2023-2024:

Student's Grade in Hebrew High for 2023-2024:

Parent/Guardian Information:

Parent/Guardian Name 1:

First

Last

Parent/Guardian Name 2:

First

Last

Parent/Guardian Address if different from student:

Street Address

Address Line 2

City

State

Zip

Parent/Guardian 1 Cell Phone:

Parent/Guardian 2 Cell Phone:

Parent/Guardian 1 Email:

Parent/Guardian 2 Email:

* Shalom Park can use my email address:

Please Select OneYesNo

Emergency Contact Information:
In case you can't be reached, please list someone we can contact.

Name:

First

Last

Phone Number

Insurance Information:
Please complete

* Policy Carrier

* Carrier Phone Number

* Name of Policy Holder

* Group Number

* Policy Number

Does your child receive any special education services at school? IEP or 504 Plan?

Is there anything our teachers should know about your child to help them in the classroom setting?

* Please list any allergies or medical conditions. Please be specific when it comes to food allergies for dinner purposes! (Write N/A if there are no allergies or medical concerns.)

Is your child a vegetarian?

YesNo

Permission for Emergency Medical Treatment:
In a medical emergency, if I/we cannot be reached, I/we hereby give permission to the physician selected by the Hebrew High agent to hospitalize and secure proper treatment for my child(ren) as named herein. E-signature is acceptable for my/our signature.

Parent/Guardian 1 Signature:

Parent/Guardian 2 Signature:

Parent/Guardian 1 Signature

Parent/Guardian 2 Signature

* My child has permission to have their picture taken at Hebrew High Events (may be used in Charlotte Jewish News "CJN", on social media or Hebrew High materials).

Please Select OneYesNo

* My child has permission to watch course-related films at the discretion of the Hebrew High faculty, regardless of rating.

Please Select OneYesNo

Payment Information:

Hebrew High Sign-Up Options and Payment Information:

Once you make your selections, you will be directed to the page to process your credit card. You will receive a receipt for your records.

Students/families need to select from the Hebrew High sign-up choices below. If you are not affiliated with Temple Beth El or Temple Israel, check the "unaffiliated" box. The additional unaffiliated fee will be automatically added to your total.

I want to sign up for the entire year!

Options for Full Year of Hebrew High:
$650 for affiliated
$750 for unaffiliated

If paying in 2 payments by credit card, your first payment will be charged now. Your credit card will be automatically charged one additional month (October) to complete your payments.
If paying in 6 payments by credit card, your first payment will be charged now. Your credit card will be automatically charged once a month for the next 5 months (October-February) to complete your payments.

For unaffiliated families - you MUST check your payment plan (pay in full, 2 payments, or 6 payments) AND your unaffiliated fee of $100.

Pay in full by credit card online ($650)Pay in 2 payments by credit card online ($325 charged now)Pay in 6 Payments by credit card online ($100 charged now)Check if you will mail a check to Hebrew High by Wednesday, September 27, 2023If you will need Financial Assistance, please pay $50 and contact Madeline White at TBE or Kevin Cromie at TI to officially submit your request.

Unaffiliated with either Temple Beth El or Temple Israel ($100 charged now)

I want to sign up for ONE trimester!

Options for One trimester and 6 Special Program days:
$300 affiliated
$325 for unaffiliated

Pay in full by credit card online ($300 charged now)Unaffiliated with either Temple Beth El or Temple Israel ($325 charged now)Check if you will mail a check to Hebrew High by Wednesday, September 27, 2023If you will need Financial Assistance, please pay $50 and contact Madeline White at TBE or Kevin Cromie at TI to officially submit your request.

Which trimester are you registering for?

First TrimesterSecond TrimesterThird TrimesterPlease only answer this question if you are signing up for one trimester. Otherwise you can leave it blank.

I want to sign up for TWO trimesters!

Options for Two Trimesters and 6 Special Program days:
$550 affiliated
$600 for unaffiliated

Pay in full by credit card online ($550 charged now)Unaffiliated with either Temple Beth El or Temple Israel ($600 charged now)Check if you will mail a check to Hebrew High by Wednesday, September 27, 2023If you will need Financial Assistance, please pay $50 and contact Madeline White at TBE or Kevin Cromie at TI to officially submit your request.

Which trimesters are you registering for?

First TrimesterSecond TrimesterThird TrimesterPlease only answer this question if you are signing up for two trimesters. Otherwise you can leave it blank.

I am interested in signing up for Hebrew for Credit

Options for Hebrew for Credit
$275 affiliated
$275 for unaffiliated
$650 for Hebrew for Credit Only

Pay in full by credit card online ($275 charged now)Unaffiliated with either Temple Beth El or Temple Israel ($275 charged now)Check if you will mail a check to Hebrew High by Wednesday, September 27, 2023If you will need Financial Assistance, please pay $50 and contact Madeline White at TBE or Karen Turk at TI to officially submit your request. Do not check this box if you have paid the $50 fee above.Hebrew for Credit ONLY is $650

I am interested in signing up for the Moving Traditions Program (Sunday evening monthly program)

Options for Moving Traditions Program:
$200 affiliated
$250 for unaffiliated

Pay in full by credit card online ($200 charged now)Unaffiliated with either Temple Beth El or Temple Israel ($250 charged now)Check if you will mail a check to Hebrew High by Wednesday, September 27, 2023If you will need Financial Assistance, please pay $50 and contact Madeline White at TBE or Kevin Cromie at TI to officially submit your request. Do not check this box if you have paid the $50 fee above.

I would like to be a part of the Chaverim of Hebrew High (Chaverim means friends). These funds are used to offset financial assistance requests, teacher appreciation and special events for students.

Yes, I will add $36 to my first credit card payment onlineNo thank you.

Total Charges: