2025-2026 Religious School Family Registration

Unique ID

Parent Information

Parent 1 Name(Required)

First Last

Parent 1 Cell Phone Number(Required)

Parent 1 Email Address(Required)

Parent 2 Name

First Last

Parent 2 Cell Phone Number

Parent 2 Email Address

Student Information

Student Registration

Student Name	Preferred Name	Preferred Pronouns	Student Date of Birth	Student Grade for 2025-2026	Student Phone Number	Student Email Address	Name of Day School	Student T-Shirt Size	Please list up to 3 classmate requests.	Primary Health Care Insurance Provider	Policy Number	Group Number	Does your child have any medical history we should know about?	Please describe in detail below.	Does your child have any allergies?	Does your child carry an Epipen?	Please list ANY reactions (both major and minor) and what protocols should be taken in case of allergic reaction. Please indicate if teacher, administration, or both should see this.	Does your child take any medications regularly?	Please list any medications your child takes regularly.	Please check any medications/creams we are allowed to administer to your child.	Please describe any social/emotional/behavioral challenges your child faces.	Actions
There are no Entries.

Click “Add Entry” above to add each child you are registering

Health Insurance Information

Emergency Contacts and Authorized Pickups

All emergency contacts are considered authorized pickups for your child/ren. You may add additional authorized pickups in the section below.

Emergency Contact 1 Full Name(Required)

Emergency Contact 1 Relationship(Required)

Emergency Contact 1 Cell Phone Number(Required)

Emergency Contact 2 Full Name(Required)

Emergency Contact 2 Relationship(Required)

Emergency Contact 2 Cell Phone Number(Required)

Emergency Contact 3 Full Name(Required)

Emergency Contact 3 Relationship(Required)

Emergency Contact 3 Cell Phone Number(Required)

In the case of a natural disaster or other emergency (including but not limited to evacuation, etc.) I authorize my child/ren to be dismissed to any Religious School parent.(Required)

Yes

No

Authorized Pickup 1 Full Name

Authorized Pickup 1 Cell Phone Number

Authorized Pickup 2 Full Name

Authorized Pickup 2 Cell Phone Number

Authorized Pickup 3 Full Name

Authorized Pickup 3 Cell Phone Number

Authorized Pickup 4 Full Name

Authorized Pickup 4 Cell Phone Number

Temple Membership Information

Membership Status(Required)

I am a new member of TIOH and need to submit my information.

I am a current member of TIOH (this will open the membership updates form in case you need to update any information).

New Member Form

Adult Family Member 1 Full Name	Adult Family Member 2 Full Name	Home Address	Marital Status	Wedding Anniversary (if applicable)	How did you hear about TIOH? (Please check all that apply)	How Hear Other	Reason(s) for joining (Please check all that apply)	Join Reason Other	Areas of interest (Please check all that apply)	Other Areas of Interest	If applicable, please list present affiliations in LA civic/cultural clubs and Jewish/community organizations.	Name	Preferred Name or Nickname (if different from above)	Maiden Name (if applicable)	Preferred Pronouns	Other Preferred Pronouns	Date of birth	Email	Cell Phone	Home Phone	Occupation/Profession	Business Name	Business Website	LinkedIn Profile	What is your religious background?	Current or previous affiliation with religious institutions	Please list any relationships you have to any member(s) of TIOH	Would you like to add a spouse/partner?	Name	Preferred Name or Nickname (if different from above)	Maiden Name (if applicable)	Preferred Pronouns	Other Preferred Pronouns	Date of birth	Email	Cell Phone	Occupation/Profession	Business Name	Business Website	LinkedIn Profile	What is their religious background?	Current or previous affiliation with religious institutions	Please list any relationships you have to any member(s) of TIOH	Do you have a child / children?	Are any of your children under the age of 18?	Name	Date of birth	Preferred Pronouns	Other Preferred Pronouns	Is this child attending or enrolling in any of the TIOH schools?	Which TIOH school does this child attend or is enrolling in?	What school outside of TIOH does this child attend?	What is this child’s expected high school graduation year?	Would you like to add another child UNDER 18?	Name	Date of birth	Preferred Pronouns	Other Preferred Pronouns	Is this child attending or enrolling in any of the TIOH schools?	Which TIOH school does this child attend or is enrolling in?	What school outside of TIOH does this child attend?	What is this child’s expected high school graduation year?	Would you like to add another child UNDER 18?	Name	Date of birth	Preferred Pronouns	Other Preferred Pronouns	Is this child attending or enrolling in any of the TIOH schools?	Which TIOH school does this child attend or is enrolling in?	What school outside of TIOH does this child attend?	What is this child’s expected high school graduation year?	Would you like to add another child UNDER 18?	Name	Date of birth	Preferred Pronouns	Other Preferred Pronouns	Is this child attending or enrolling in any of the TIOH schools?	Which TIOH school does this child attend or is enrolling in?	What school outside of TIOH does this child attend?	What is this child’s expected high school graduation year?	Are any of your children OVER 18 years of age?	Name	Maiden Name (if applicable)	Date of birth	Preferred Pronouns	Other Preferred Pronouns	Current School (College/University) or Occupation	Expected graduation year	Cell Phone	Email	Address	Name of spouse / partner (if applicable)	Would you like to add another child OVER 18?	Name	Maiden Name (if applicable)	Date of birth	Preferred Pronouns	Other Preferred Pronouns	Current School (College/University) or Occupation	Expected graduation year	Cell Phone	Email	Address	Name of spouse / partner (if applicable)	Would you like to add another child OVER 18?	Name	Maiden Name (if applicable)	Date of birth	Preferred Pronouns	Other Preferred Pronouns Adult Child 3	Current School (College/University) or Occupation	Expected graduation year	Cell Phone	Email	Address	Name of Spouse / Partner (if applicable)	Would you like to add another child OVER 18?	Name	Maiden Name (if applicable)	Date of birth	Preferred Pronouns	Other Preferred Pronouns	Current School (College/University) or Occupation	Expected graduation year	Cell Phone	Email	Address	Name of Spouse/Partner (if applicable)	Would you like to submit Yahrzeit (anniversary of death) information for a loved one?	Name	Date of Death	Relationship to member	Would you like to add Yahrzeit information for an additional loved one?	Name	Date of Death	Relationship to member	Would you like to add Yahrzeit information for an additional loved one?	Name	Date of Death	Relationship to member	Would you like to add Yahrzeit information for an additional loved one?	Name	Date of Death	Relationship to member	Actions
There are no Entries.

2025-2026 Religious School Family Registration