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Religious School Application 2023-24
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Temple
Solel
- School of Living Judaism - Registration Form
Religious school includes T'filah, music, Torah, values, holidays, Israel, Hebrew, and life cycle education.
Religious School Registration includes security, books or online materials.
Grades
Class Schedule
Fees
Pre-K - 7 Designated Sundays -10am - 12:00 pm $ No Charge
Once a month family Shabbat Dinner & Service
When completing this form, you will notice a red asterisk next to many of the questions. This means that an answer to the question is required. If you do not know the answer, please type "Unknown" and if the question does not apply to you, please type "Not Applicable."
*
Child's - First Name
*
Child's - Last Name
*
Child's Gender
N/A or Unknown
Male
Female
*
Child's - Primary Address
*
City
*
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
*
Child Resides with
*
Child 1 - Date of Birth
*
Child's Grade- 2023-24
*
Home Phone
Student's Email Address
*
Primary Email Address
Has your child attended another Jewish education program? Where?
Please write the name in the space above.
*
Parent 1 - Name
*
Parent 1 - Cell Phone
Work Phone
*
Parent 1 - Email Address
*
Parent 2 - Name
*
Parent 2 - Cell Phone
Work Phone
*
Parent 2 - Email Address
I am interested in volunteering during school hours
Yes - Parent 1
Yes - Parent 2
*
Are you a member of Temple Solel?
Yes
No
Are you are a member of another synagogue, if so where?
Please write the name in the space above.
Emergency Contacts:
*
Name (First, Last)
*
Phone
*
Relationship to your child
*
Name (First, Last)
*
Phone
*
Relationship to your child
*
Medical Insurance
*
Phone
*
Policy Number
*
Physician's Name
*
Phone
*
Dentist's Name
*
Phone
*
Does your child have any allergies? If so, please list them in the box below.
*
Does you child take any medication? If so, please list them in the box below.
*
Is your child vaccinated against measles (MMR)?
Yes
No
*
Are your child's other vaccinations up to date?
yes
No
*
Please include any important information about your child.
Pick-up Authorization
*
Besides parent(s)/guardian(s), who else is authorized to pick up your child from school?
*
Name (First, Last)
*
Name (First, Last)
*
Who is not permitted to pick up your child from school?
*
Name (First, Last)
*
Name (First, Last)
My family will attend and participate fully in the school program, unless otherwise agreed upon with the Religious School director or teacher. We will arrive on time, stay until the end,and
remain involved in the entire program, whether in person or online.
If my child needs to leave the premises early, s/he will bring a note from a parent or guardian and will wait in
class until released by the teacher. If early release is not pre-planned, parents must contact the school office or teacher. Students
will not be released based on a cell phone call directly to the student.
I understand that vandalism, disturbing the peace, or other inappropriate behavior, as determined by any teacher or member of the administrative staff, will not be tolerated. I understand that I will have to pay for any damage that is caused. I further understand that any such vandalism or inappropriate behavior could result in suspension or expulsion.
Temple Solel School programs may be photographed from time to time by our staff and media. Possible uses for these photos can include, but are not limited to: school projects, publication in editorial and promotional print materials, publication on Temple Solel’s
web site, Facebook, and publication in newspapers, magazines, and other materials. By signing below, you agree that Temple Solel, its agents or assignees, and media outlets may use these photos, and that neither your child, nor you or your agents or assignees, will be entitled to any compensation for such uses.
I agree to have my child up to date on all usual pediatrician recommended vaccinations at time of attendance.
*
I agree to the above and am registering my child for the Temple Solel School of Living Judaism.
I agree to the above and am registering my child for the Temple Solel School of Living Judaism.
Please type your name below
By typing my name
I agree to the above and am registering my child for the Temple Solel School of Living Judaism.
Date
Sat, December 21 2024 20 Kislev 5785