Hebrew High Registration 2025-2026 - Form

Welcome to Hebrew High's online registration form. We are excited for the 2025-2026 school year!

Hebrew High is on Wednesday Nights from 7:00-8:30pm. Dinner is served at 7:00pm and it is followed by 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.

Below are the different program options for the 2025-2026 school year:

Withdrawals prior to September 17, 2025 will receive a refund minus a $50 administrative fee. No refunds can be given after September 17, 2025.

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.

If you have any questions, please contact Daniela Mickey, Director at dmickeyy@hebrewhigh.org or 980-483-7162.

Student Information:

* First Name

* Last Name

Name student goes by:

* Date of Birth

* Street Address

Apt./Unit #

* City

* State

* Zip Code

* Student Cell

* Student Email Address

* Student's School

Parent/Guardian 1 Information

* First Name

* Last Name

* Cell Number

* Email Address

Parent/Guardian 2 Information

First Name

Last Name

Cell Number

Email Address

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

* First Name

* Last Name

* Cell Number

Insurance Information:

* Policy Carrier

* Carrier Phone Number

* Name of Policy Holder

* Group Number

* Policy Number

Accommodations/Allergies:

Does your child receive any special education services at school? IEP or 504 Plan? Any other accommodations we should be aware of?

* Does your child have any food allergies or dietary restrictions? If none, put N/A.

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.

Does your child have allergies to any medications?

Please indicate which medications, if any.

* Does your child carry an epi-pen?

Please Select OneYesNo

* Parent/Guardian 1 Signature

Parent/Guardian 2 Signature

Media Permissions:

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).

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

Hebrew High Sign-Up Options and Payment Information:

* Temple Affiliation

Please Select:Temple IsraelUnaffiliated/Other CongregationTemple Beth El

* Registration Options (Affiliated)

* Registration Options (Unaffiliated)

* For which trimesters are you registering?

First TrimesterSecond TrimesterThird TrimesterFull Year

I'd like to make an additional donation to Chaverim (Friends) to help offset financial assistance requests, teacher appreciation, and special events.

I would like a Hebrew High t-shirt. Choose your size.

Distributed on the first night of class! The shirts will be $25 after registration.

Total Charges:

If you are:

A Temple Beth El Member OR Paying by check

Choose BILL TO ACCOUNT when redirected to the payment page.