Sign In Forgot Password

HSRS General Release Form


This form contains information that applies to every student you register at Har Shalom, including important photo and medical releases. 

NOTE: Submit ONE form for your family. 

If you have questions or need to submit different information for different children regarding primary address, etc., contact Nicki Shamis at or 970-430-6355.

Family & Emergency Contact Information

Student's Primary Residence

Student's Secondary Residence (if applicable)

Emergency Contact Information

Please provide the name and number of at least one family member or friend that we may contact if we are unable to reach either parent.

Withdrawal Policy

We know life happens and have developed a withdrawal policy to keep us all on the same page. Tuition is based on a full school year. In order to maintain our budget and staff contracts, tuition credits are not given for holidays and personal absences. If you have a unique attendance circumstance, please contact the Religious School Director when registering to discuss. If you need to withdraw your child or teen, notify the Religious School Director in writing. A written response is proof that the withdrawal request was received. Absence from the program is not confirmation of withdrawal. Each family must pay full tuition through the end of the month that a withdrawal request is submitted. Withdrawal requests will not be accepted after October 1 of the current school year. If you have a unique attendance or withdrawal circumstance, please contact the Religious School Director to discuss.


I give permission to Har Shalom to photograph my child(ren) during Religious School hours and use for publication purposes, whether electronic, print, digital, or electronic publishing via the internet.

If and when the need for medical and/or surgical attention arises during the period of my child(ren)'s official participation in Har Shalom Religious School programs, and listed parents and emergency contacts cannot be contacted, I hereby grant permission for my child(ren) to be treated by qualified authorities at their discretion and that of Har Shalom senior staff.

I authorize my child(ren) to leave Har Shalom for field trips with adequate supervision and advanced notice during the school year.

Volunteering is Vital (and fun!)

Since Har Shalom relies so heavily upon parental involvement and support, we expect that parents volunteer time each year. We love and appreciate our volunteers, and volunteering is a great way to stay connected to our awesome community of teachers, students, spiritual leaders, and other parents.

Volunteering can take many forms. The most obvious is to sign up with your child’s classroom teacher and just spend a little time in your own child’s class! We also need parents to plan social action projects and events; organize and supervise fundraising; chaperone field trips; serve on the Education Committee; and more!

Fri, February 26 2021 14 Adar 5781