RELIGIOUS SCHOOL REGISTRATION

Transcription

1 RELIGIOUS SCHOOL REGISTRATION 1. Student Name (first, middle, last) Hebrew Name Birthdate Religious School Grade: Sept Secular School & Grade Sept Place class ID Letter for each child from class list below: Photo Opt-Out: If you DO NOT wish your child(ren) s picture to appear as part of a group in the Temple Sinai Sentry and/or The Jewish Standard please indicate here CLASS IDENTIFICATION LETTER: Grades K-3 Grades 4-6 Grade 7 A Sunday (9:30 am-11:30 am) C Sunday (9:30 am-11:30 am) Tuesday (3:45 pm-5:45 pm) or D Sunday (9:30 am-11:30 am) Wednesday (3:45 pm-5:45 pm) E Kef Alef (7 th ) Tuesday (6:00 pm - 7:30 pm) F Teen Foundation (8 th ) G Netivot (9 th ) OF PARENT 1 OR GUARDIAN 1 ADDRESS HOME PHONE WORK PHONE EMPLOYER OF PARENT 2 OR GUARDIAN 2 ADDRESS HOME PHONE WORK PHONE EMPLOYER With whom does student reside? Both Parents Parent 1/Guardian 1 Parent 2/Guardian 2 Other RELIGIOUS SCHOOL TUITION: (Please check all appropriate categories.) Grades K-2 (For only or oldest child) Grade 3 (includes Shabbat Class dinner) $895 Kef Alef (Grade 7) (includes weekly dinner) $1,250 Shalom K-2 Membership at $1,110 applies; no additional tuition charge Grades K-2 For 2 nd or add l child Grades 4-6 (includes Shabbat Class dinner) $845 $1,350 Teen Foundation (Grade 8) Netivot (Grade 9) $360 (Description of class attached) $613 (Description of class attached) I understand this is a contract and I agree to the terms below for payment Parent/Guardian Signature: Date: Tuition must be paid in full prior to the first day of Religious School. Methods for payment include checks, direct withdrawal from your bank account (ACH), and credit card. Membership must be current and in good standing to register for religious school. There are no tuition refunds after the start of school. Tuition does not cover the cost of providing your child s education! Enclosed is my $ donation to help address this challenge.

2 PROGRAMS FOR EIGHTH AND NINTH RS AT TEMPLE SINAI For our post-b nei Mitzvah students Temple Sinai offers two informal educational teen programs that take students out of the classroom and into the community for unique learning experiences: the eighth grade Teen Foundation and ninth grade Netivot/Pathways program. Run directly by Rabbi Millstein and Temple Sinai s new Rabbi-Educator, Rabbi Beth Kramer-Mazer, these ground-breaking, high impact programs have proven to be very engaging for teens, tapping into their desire to make a difference in the world, experience new things, all while hanging out and having fun. For the past several years the majority of students who become bar/bat mitzvah at Temple Sinai have chosen to participate in them instead of dropping out of Temple! The Teen Foundation and Netivot/Pathways programs are NOT Religious School classes. There is no Hebrew High or other classes for students in eighth and ninth grade. Registration for the Teen Foundation and Netivot/Pathways program is handled separately through Sally Collins in Rabbi Millstein s office. Those with students in eighth and ninth grades will receive a separate with more detailed information and registration materials later in the summer. These programs begin in October after the High Holidays. EIGHTH TEEN FOUNDATION Combining elements of teen philanthropy, community service and leadership development, this cutting edge youth program was pioneered six years ago at Temple Sinai as a way to engage our 8th graders in doing important mitzvah work while having fun hanging out together. The Teen Foundation teaches about tzedakah (charity), gemilut chasadim (deeds of kindness) and tikkun olam (repairing the world) through site visits to local not-for-profit organizations doing great work in our community. The students learn about the needs of others in the community who may not have what they do. They learn what our local not-for-profit organizations (both Jewish and secular) do to help those in need. They gain experience volunteering at these organizations and decide to whom they would like to make grants from their Teen Foundation at the end of the year. The Teen Foundation typically meets twice a month, from October through May, on Sunday afternoons from 5 6:15 p.m. and Fridays after school, from 4:00 5:30 p.m., with occasional special mitzvah opportunities taking place at other times. Requested tax-deductible donation: $ This money goes to the Teen Foundation to be distributed by the students as grants to local not-for-profit groups at the end of the year. The Temple does not charge a registration fee for this program. NINTH NETIVOT/PATHWAYS PROGRAM AND CONFIRMATION As students begin high school they meet many challenges. We are all well aware of the academic challenges. However, for a young person the challenge of developing one s personal identity of determining what is important in life and who one wants to be may be far more significant. Understanding where one s Jewish background, community and faith fit into one s overall identity is a critical aspect of one s personal development. The primary goal of the Netivot/Pathways program is to expose our students to various pathways for developing their adult Jewish identities. We seek to help them grapple with developing their own approach to being a Jew, one that can sustain them into adulthood. From October through March, students will engage in an activity with us approximately 3 times each month in the following format: One Sunday a month, the entire group will meet together for a discussion on a topic related to teens and identity. Once a month each student will participate with the group in a volunteer program at Brightview Assisted Living in Tenafly on Friday afternoon. (Students can apply for community service credit from their high school for this work.) Once a month, we will take the students on a trip or activity where they can experience something that will help them develop an aspect of their Jewish identities. Those students who participate consistently in our ninth grade Netivot/Pathways from October through March will be eligible to be confirmed at Temple Sinai at a service that takes place on the Festival of Shavuot, Sunday morning June 9, Students who participate in confirmation will meet weekly on Tuesday evenings in April and May to prepare for this special service. Registration fee: $ This fee goes to offset the cost of the numerous trips, food and special programs

3 DETAILED EMERGENCY INFORMATION & TRIP RELEASE FORM Please use a different sheet for each child CHILD S PARENT S Does student take any prescribed medication? YES NO If Yes, please specify Does student have any existing medical conditions? YES NO If yes, please explain: Does student have, or has he/she ever had any difficulty with speech, vision or hearing? YES NO If yes, describe fully: Is any there information that you would like to share with us that will help us work better with your child? My child has an allergy to: Peanuts YES NO Other nuts YES NO Peanut Butter YES NO Fish YES NO Gluten YES NO Latex YES NO Drugs YES NO Insect Bite/Sting YES NO Other YES NO What food or materials MUST your child avoid? Does student take any prescribed medication? YES NO My child has been prescribed an EpiPen. YES NO If parent(s) cannot be reached, list two (2) friends/relatives who will assume temporary care: HOME PHONE RELATION TO CHILD HOME PHONE RELATION TO CHILD Authorization-consent Release: In the event of an emergency at either Temple Sinai of Bergen County or if on a class field trip, and when neither the emergency contact nor the parent can be reached, please indicate below whether you authorize Temple Sinai of Bergen County to act as your agent and arrange for medical treatment or hospital care for your child/children. If you agree to have the Temple act as your agent in the event of any emergency, then you agree to release Temple Sinai of Bergen County and any of its officers, directors, staff or employees from any and all claims arising from such authorization. This agreement is in affect for one school year. Agreed: (PLEASE PRINT) PARENT SIGNATURE DATE INSURANCE COMPANY GROUP # ID # INSURANCE COMPANY MEMBER PHONE NUMBER:

4 FOR OFFICE USE Last Name: PERMISSION SLIP FOR PICKING UP CHILDREN CHILD S SESSION CHILD S SESSION I give permission for the following people to pick up my child(ren) any time during the school year. If information changes, please notify us as soon as possible Is there anyone that may NOT pick up your child? PARENT S (PLEASE PRINT) PARENT S SIGNATURE DATE

5 CHILD S AND IN SEPTEMBER HIGH HOLIDAY JUNIOR CONGREGATION REGISTRATION FORM S K-6 Registration Due: August 15, 2018 CHILD 1 CHILD 2 CHILD 3 PARENT(S) S AND NUMBERS CELL CELL PLEASE CHECK ONE OR BOTH: Rosh Hashanah, September 10 (concurrent with Morning Service) Snacks will be served Yom Kippur, September 19 (Concurrent with Morning Service) (Snacks will be served to Kindergarten and 1st grade students) Please return this form to the Religious School Office Attention: Barbara Waldman JUNIOR CONGREGATION TEEN VOLUNTEER REQUEST FORM Registration Due: August 15, 2018 ADDRESS CITY STATE ZIP HOME PHONE CELL YOU PREFER TO WORK WITH Rosh Hashanah, September 10 I will lead a prewritten workshop I will assist during Registration Yom Kippur, September 19 I will lead a prewritten workshop I will assist during Registration The workshop day/time TBD. All High Holiday Junior Congregation leaders MUST attend the Junior Congregation Workshop. Dinner will be served. Please return this form to the Religious School Office Attention: Barbara Waldman

6 RELIGIOUS SCHOOL REGISTRATION 1. Student Name middle, last) (first, Hebrew Name Birthdate Religious School Grade: Sept Secular School & Grade Sept Place class Id Letter for each child from class list below: Photo Opt-Out: If you DO NOT wish your child(ren) s picture to appear as part of a group in the Temple Sinai Sentry and/or The Jewish Standard please indicate here CLASS IDENTIFICATION LETTER: Grades K-3 Grades 4-6 Grade 7 A Sunday (9:30 am-11:30 am) C Sunday (9:30 am-11:30 am) Tuesday (3:45 pm-5:45 pm) or D Sunday (9:30 am-11:30 am) Wednesday (3:45 pm-5:45 pm) E Kef Alef (7 th ) Tuesday (6:00 pm - 7:30 pm) F Teen Foundation (8 th ) G Netivot (9 th ) OF PARENT 1 OR GUARDIAN 1 ADDRESS HOME PHONE WORK PHONE EMPLOYER OF PARENT 2 OR GUARDIAN 2 ADDRESS HOME PHONE WORK PHONE EMPLOYER With whom does student reside? Both Parents Parent 1/Guardian 1 Parent 2/Guardian 2 Other RELIGIOUS SCHOOL TUITION: (Please check all appropriate categories.) Grades K-2 (For only or oldest child) Grade 3 (includes Shabbat Class dinner) $895 Kef Alef (Grade 7) (includes weekly dinner) $1,250 Shalom K-2 Membership at $1,110 applies; no additional tuition charge Grades K-2 For 2 nd or add l child Grades 4-6 (includes Shabbat Class dinner) $845 $1,350 Teen Foundation (Grade 8) Netivot (Grade 9) $360 (Description of class attached) $613 (Description of class attached) I understand this is a contract and I agree to the terms below for payment Parent/Guardian Signature: Tuition must be paid in full prior to the first day of Religious School. Methods for payment include checks, direct withdrawal from your bank account (ACH), and credit card with a 3% service fee. Membership must be current and in good standing to register for religious school. There are no tuition refunds after the start of school. Date: Tuition does not cover the cost of providing your child s education! Enclosed is my $ donation to help address this challenge.

7 PROGRAMS FOR EIGHTH AND NINTH RS AT TEMPLE SINAI For our post-b nei Mitzvah students Temple Sinai offers two informal educational teen programs that take students out of the classroom and into the community for unique learning experiences: the eighth grade Teen Foundation and ninth grade Netivot/Pathways program. Run directly by Rabbi Millstein and Temple Sinai s new Rabbi-Educator, Rabbi Beth Kramer-Mazer, these ground-breaking, high impact programs have proven to be very engaging for teens, tapping into their desire to make a difference in the world, experience new things, all while hanging out and having fun. For the past several years the majority of students who become bar/bat mitzvah at Temple Sinai have chosen to participate in them instead of dropping out of Temple! The Teen Foundation and Netivot/Pathways programs are NOT Religious School classes. There is no Hebrew High or other classes for students in eighth and ninth grade. Registration for the Teen Foundation and Netivot/Pathways program is handled separately through Sally Collins in Rabbi Millstein s office. Those with students in eighth and ninth grades will receive a separate with more detailed information and registration materials later in the summer. These programs begin in October after the High Holidays. EIGHTH TEEN FOUNDATION Combining elements of teen philanthropy, community service and leadership development, this cutting edge youth program was pioneered six years ago at Temple Sinai as a way to engage our 8th graders in doing important mitzvah work while having fun hanging out together. The Teen Foundation teaches about tzedakah (charity), gemilut chasadim (deeds of kindness) and tikkun olam (repairing the world) through site visits to local not-for-profit organizations doing great work in our community. The students learn about the needs of others in the community who may not have what they do. They learn what our local not-for-profit organizations (both Jewish and secular) do to help those in need. They gain experience volunteering at these organizations and decide to whom they would like to make grants from their Teen Foundation at the end of the year. The Teen Foundation typically meets twice a month, from October through May, on Sunday afternoons from 5 6:15 p.m. and Fridays after school, from 4:00 5:30 p.m., with occasional special mitzvah opportunities taking place at other times. Requested tax-deductible donation: $ This money goes to the Teen Foundation to be distributed by the students as grants to local not-for-profit groups at the end of the year. The Temple does not charge a registration fee for this program. NINTH NETIVOT/PATHWAYS PROGRAM AND CONFIRMATION As students begin high school they meet many challenges. We are all well aware of the academic challenges. However, for a young person the challenge of developing one s personal identity of determining what is important in life and who one wants to be may be far more significant. Understanding where one s Jewish background, community and faith fit into one s overall identity is a critical aspect of one s personal development. The primary goal of the Netivot/Pathways program is to expose our students to various pathways for developing their adult Jewish identities. We seek to help them grapple with developing their own approach to being a Jew, one that can sustain them into adulthood. From October through March, students will engage in an activity with us approximately 3 times each month in the following format: One Sunday a month, the entire group will meet together for a discussion on a topic related to teens and identity. Once a month each student will participate with the group in a volunteer program at Brightview Assisted Living in Tenafly on Friday afternoon. (Students can apply for community service credit from their high school for this work.) Once a month, we will take the students on a trip or activity where they can experience something that will help them develop an aspect of their Jewish identities. Those students who participate consistently in our ninth grade Netivot/Pathways from October through March will be eligible to be confirmed at Temple Sinai at a service that takes place on the Festival of Shavuot, Sunday morning June 9, Students who participate in confirmation will meet weekly on Tuesday evenings in April and May to prepare for this special service. Registration fee: $ This fee goes to offset the cost of the numerous trips, food and special programs

8 DETAILED EMERGENCY INFORMATION & TRIP RELEASE FORM Please use a different sheet for each child CHILD S PARENT S Does student take any prescribed medication? YES NO If Yes, please specify Does student have any existing medical conditions? YES NO If yes, please explain: Does student have, or has he/she ever had any difficulty with speech, vision or hearing? YES NO If yes, describe fully: Is any there information that you would like to share with us that will help us work better with your child? My child has an allergy to: Peanuts YES NO Other nuts YES NO Peanut Butter YES NO Fish YES NO Gluten YES NO Latex YES NO Drugs YES NO Insect Bite/Sting YES NO Other YES NO What food or materials MUST your child avoid? Does student take any prescribed medication? YES NO My child has been prescribed an EpiPen. YES NO If parent(s) cannot be reached, list two (2) friends/relatives who will assume temporary care: HOME PHONE RELATION TO CHILD HOME PHONE RELATION TO CHILD Authorization-consent Release: In the event of an emergency at either Temple Sinai of Bergen County or if on a class field trip, and when neither the emergency contact nor the parent can be reached, please indicate below whether you authorize Temple Sinai of Bergen County to act as your agent and arrange for medical treatment or hospital care for your child/children. If you agree to have the Temple act as your agent in the event of any emergency, then you agree to release Temple Sinai of Bergen County and any of its officers, directors, staff or employees from any and all claims arising from such authorization. This agreement is in affect for one school year. Agreed: (PLEASE PRINT) PARENT SIGNATURE DATE INSURANCE COMPANY GROUP # ID # INSURANCE COMPANY MEMBER PHONE NUMBER: HOSPITAL OF PREFERENCE IF NEEDED:

9 FOR OFFICE USE Last Name: PERMISSION SLIP FOR PICKING UP CHILDREN CHILD S SESSION CLASS CHILD S SESSION CLASS I give permission for the following people to pick up my child(ren) any time during the school year. If information changes, please notify us as soon as possible Is there anyone that may NOT pick up your child? PARENT S (PLEASE PRINT) PARENT S SIGNATURE DATE

10 HIGH HOLIDAY JUNIOR CONGREGATION REGISTRATION FORM S K-6 Registration Due: August 15, 2018 CHILD S AND IN SEPTEMBER CHILD 1 CHILD 1 CHILD 1 PARENT(S) S AND NUMBERS CELL CELL PLEASE CHECK ONE OR BOTH: Rosh Hashanah, September 10 (concurrent with Morning Service) Snacks will be served Yom Kippur, September 19 (Concurrent with Morning Service) (Snacks will be served to Kindergarten and 1st grade students) Please return this form to the Religious School Office Attention: Barbara Waldman JUNIOR CONGREGATION TEEN VOLUNTEER REQUEST FORM Registration Due: August 15, 2018 ADDRESS CITY STATE ZIP HOME PHONE CELL YOU PREFER TO WORK WITH Rosh Hashanah, September 10 I will lead a prewritten workshop I will assist during Registration Yom Kippur, September 19 I will lead a prewritten workshop I will assist during Registration The workshop will take place on Thursday, September 14 from 6:00-7:00 p.m. All High Holiday Junior Congregation leaders MUST attend the Junior Congregation Workshop. Dinner will be served. Please return this form to the Religious School Office Attention: Barbara Waldman