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Temple Sinai Religious School Registration 2016-2017 (5777)

 

IMPORTANT REGISTRATION INFORMATION: Please note that this form must be completed in ONE sitting, and no information is saved until the form is submitted. Please allow for 10-15 minutes to complete the form in its entirety.

A deposit of $125 per student (which will be applied to your total bill), and all applicable book fees are due upon completion of this registration form. If you are not prepared to remit payment, or need to make special arrangements, please contact the Temple Main Office for further assistance.

Registrants please have your credit card ready, it is required to submit this form.

I am a member of Temple Sinai.
I am NOT a member, but would like to register my high school student for TELEM or High School ONLY.

Per school policy, in order to register a child for Religious School, a congregant must be current with his/her financial obligations. Your child will NOT be assigned to a class if there are any outstanding dues, school or building fund fees from previous years, unless prior arrangements have been made with the Financial Secretary or Executive Director.


Parent/Guardian #1 Contact Information







NOTE: At least ONE parent/guardian must be listed to receive e-mail notices from school.

Parent/Guardian #2 Contact Information

Please list if different from Parent/Guardian #1.







NOTE: At least ONE parent/guardian must be listed to receive e-mail notices from school.

Please list address. If same as another Parent/Guardian, please write same as Parent/Guardian #1 or 2.





NOTE: At least ONE parent/guardian must be listed to receive e-mail notices from school.

Please enter as MM/DD/YYYY.

Male
Female

Please list name of school and town.

Confidential Information

In order to respond to the unique needs and family situation of each student, each year we ask you to tell us if there is any information that we should know to help your child have a positive learning experience. We respect that all children learn differently academically and socially and look forward to getting to know your child. In preparation, we ask that you share any information about your child that will help us to be both sensitive and prepared to meet his or her needs as best we can. All information will be kept confidential and will only be used in support of a positive Temple Sinai Religious School experience. If your child has been evaluated (either privately or through the school system) and there are guidelines that you find effective in helping your child’s learning experience, we welcome that information as well. If your child has an IEP (Individual Education Program) or a 504 Accommodation Plan, we would be happy to receive a copy. We know that these documents are limited in giving information on the whole child, but the opportunity to review them, along with parental input, could be a helpful tool for your child’s teacher. With your permission, we’ll disseminate only appropriate information to your child’s teacher that would enable us to best serve your child’s needs. Your knowledge and suggestions regarding your child will be our most helpful asset.



Yes
No

Please enter as MM/DD/YYYY.

Male
Female

Please list name of school and town.

Confidential Information

In order to respond to the unique needs and family situation of each student, each year we ask you to tell us if there is any information that we should know to help your child have a positive learning experience. We respect that all children learn differently academically and socially and look forward to getting to know your child. In preparation, we ask that you share any information about your child that will help us to be both sensitive and prepared to meet his or her needs as best we can. All information will be kept confidential and will only be used in support of a positive Temple Sinai Religious School experience. If your child has been evaluated (either privately or through the school system) and there are guidelines that you find effective in helping your child’s learning experience, we welcome that information as well. If your child has an IEP (Individual Education Program) or a 504 Accommodation Plan, we would be happy to receive a copy. We know that these documents are limited in giving information on the whole child, but the opportunity to review them, along with parental input, could be a helpful tool for your child’s teacher. With your permission, we’ll disseminate only appropriate information to your child’s teacher that would enable us to best serve your child’s needs. Your knowledge and suggestions regarding your child will be our most helpful asset.



Yes
No

Please enter as MM/DD/YYYY.

Male
Female

Please list name of school and town.

Confidential Information

In order to respond to the unique needs and family situation of each student, each year we ask you to tell us if there is any information that we should know to help your child have a positive learning experience. We respect that all children learn differently academically and socially and look forward to getting to know your child. In preparation, we ask that you share any information about your child that will help us to be both sensitive and prepared to meet his or her needs as best we can. All information will be kept confidential and will only be used in support of a positive Temple Sinai Religious School experience. If your child has been evaluated (either privately or through the school system) and there are guidelines that you find effective in helping your child’s learning experience, we welcome that information as well. If your child has an IEP (Individual Education Program) or a 504 Accommodation Plan, we would be happy to receive a copy. We know that these documents are limited in giving information on the whole child, but the opportunity to review them, along with parental input, could be a helpful tool for your child’s teacher. With your permission, we’ll disseminate only appropriate information to your child’s teacher that would enable us to best serve your child’s needs. Your knowledge and suggestions regarding your child will be our most helpful asset.



Yes
No

Please enter as MM/DD/YYYY.

Male
Female

Please list name of school and town.

Confidential Information

In order to respond to the unique needs and family situation of each student, each year we ask you to tell us if there is any information that we should know to help your child have a positive learning experience. We respect that all children learn differently academically and socially and look forward to getting to know your child. In preparation, we ask that you share any information about your child that will help us to be both sensitive and prepared to meet his or her needs as best we can. All information will be kept confidential and will only be used in support of a positive Temple Sinai Religious School experience. If your child has been evaluated (either privately or through the school system) and there are guidelines that you find effective in helping your child’s learning experience, we welcome that information as well. If your child has an IEP (Individual Education Program) or a 504 Accommodation Plan, we would be happy to receive a copy. We know that these documents are limited in giving information on the whole child, but the opportunity to review them, along with parental input, could be a helpful tool for your child’s teacher. With your permission, we’ll disseminate only appropriate information to your child’s teacher that would enable us to best serve your child’s needs. Your knowledge and suggestions regarding your child will be our most helpful asset.



Yes
No

Please verify below that you and your student(s) have reviewed the information provided in our school handbook. The handbook can be found under the "Learning" tab on the Temple's website (www.temple-sinai.com) and copies are available in the Education office.

Please check off that you understand the guidelines below:

I have read and understand the rights and responsibilities section and will discuss the importance of them with my child(ren). I will support my child(ren) and the Religious School staff in complying with these expectations. My child(ren) will also sign below to show his/her acknowledgement of these rights and responsibilities in a way appropriate for his/her age.
My child's(ren's) behavior will adhere to the Religious School values and principles.
I understand that regular attendance is essential for learning, preparing for Bar/Bat Mitzvah and Confirmation.
In the event that my child(ren) requires early dismissal, a parent or designee (approved by a parent) will first fill out a sign-out form in the office.
I will support my child(ren) in completing assigned homework, which may include Hebrew review 3 times per week.
My child(ren) and I will dress appropriately for Religious School programs.
My child’s(ren's) cell phone will remain off during Religious School.
My child(ren) is/are not receiving formal education in another religion.

I acknowledge these policies as conditions of Religious School Enrollment. I understand that should I have any questions about any of these policies at any time, I am welcome to contact Beth Fine-Nelson, the Director of Education.

PARENTAL AGREEMENT AND RELEASE: I approve of the above registration for my child(ren). I understand that the Director of Education or another member of the temple staff will contact me in case of emergency. If I am going to be out of town, I will provide information as to how I can be reached in case of an emergency. I hereby grant permission for my child to be treated by qualified medical authorities as necessary, and I give permission to the Director to hospitalize, secure proper treatment, order injection, anesthesia or surgery for my child. I agree that we, our heirs, next of kin, guardians, successors and assigns or any other representative of ours will not sue, claim against, attach the property of or prosecute (the synagogue) or any of its directors, officers, agents and employees, and all affiliated entities for loss of property, injury, harm, accident, illness, loss of limb or life, or other personal injury, incapacity, medical cost, expense, damage, claim, liability, howsoever caused, and regardless of whether caused directly or indirectly, by their acts or any other acts, arising out of or in connection with the child’s participation in religious school and activities associated with (the synagogue). The undersigned parent/guardian fully understands that s/he is responsible to pay all costs incurred as a result of the foregoing.

Yes
Parent Class Volunteers
Assist School Committee with Shabbat B'Simcha Service
Religious School Fundraising

A $125 deposit per student and any applicable book fees must be paid at time of registration unless an alternate payment plan has been arranged with the Financial Secretary. All registrations for 2016-2017 are due by July 1, 2016. *Payment after July 15, 2016 will be subject to a late fee of $50 for returning students.

Please add in the number of students per program below. Please write 0 in any section that does not apply.

Religious School: Kindergarten, 1st and 2nd Grade

Religious School for Kindergarten, 1st and 2nd Grade is $675* for 2016-2017 and will be billed after registration is completed. *Note: Reflects Board Approved fee - Finalized by Congregational Approval on June 1, 2016.

I do not have a K-2nd grade student to enroll.
1 Student
2 Students
3 Students

Please indicate number of students. If you do not have a Kindergarten student, please write in 0.

Please indicate number of students. If you do not have a 1st grade student, please write in 0.

Please indicate number of students. If you do not have a 2nd grade student, please write in 0.

Please indicate the first and last name(s) of each K-2nd grade students that requires bus transportation for billing purposes. If none, please write 0.

Religious School: 3rd, 4th and 5th Grade

Religious School for 3rd, 4th and 5th Grade is $1,240* for 2016-2017 and will be billed after registration is completed. *Note: Reflects Board Approved fee - Finalized by Congregational Approval on June 1, 2016.

I do not have a 3rd - 5th grade student to enroll.
1 Student
2 Students
3 Students

Please indicate number of students. If you do not have a 3rd grade student, please write in 0.

Please indicate number of students. If you do not have a 4th grade student, please write in 0.

Please indicate number of students. If you do not have a 5th grade student, please write in 0.

Please indicate the first and last name(s) of each 3rd - 5th grade student that requires bus transportation for billing purposes. If none, please write 0.

Religious School: 6th Grade

Religious School for 6th Grade is $1,240* for 2016-2017 and will be billed after registration is completed. *Note: Reflects Board Approved fee - Finalized by Congregational Approval on June 1, 2016.

I do not have a 6th grade student to enroll.
1 Student
2 Students

Please indicate number of students. If you do not have a 6th grade student, please write in 0.

Please indicate the first and last name(s) of each 6th grade student that requires bus transportation for billing purposes. If none, please write 0.

Religious School: 7th Grade

Religious School for 7th Grade is $675* for 2016-2017 and will be billed after registration is completed. *Note: Reflects Board Approved fee - Finalized by Congregational Approval on June 1, 2016.

I do not have a 7th grade student to enroll.
1 Student
2 Students

Please indicate number of students. If you do not have a 7th grade student, please write in 0.

Please indicate the first and last name(s) of each 7th grade student that requires bus transportation for billing purposes. If none, please write 0.

Religious School: 8th, 9th, and 10th Grade

Religious School for 8th, 9th and 10th grade is $675* for members and $750* for non-members for 2016-2017 and will be billed when registration is completed. *Note: Reflects Board Approved fee - Finalized by Congregational Approval on June 1, 2016.

I do not have an 8th - 10th grade student to enroll.
1 Student
2 Students
3 Students

Please indicate the first and last name(s) of students enrolled in the high school program, that also will be participating in TELEM for billing purposes. If none, please write 0.

Please indicate the first and last name(s) of students NOT enrolled in the high school program, that will be participating in TELEM for billing purposes. If none, please write 0.

Please indicate the total number of students to be enrolled in school for 2016-2017.

$

Assists Religious School families in need with school related fees.



Credit Cards are the preferred method of payment, and can be entered at the end of the form using the Pay Now button. Checks are no longer an accepted method of payment using the online form, but may be mailed to the Temple Sinai Main Office once this form is completed.

Please note if paying by check, student registration will not be complete until deposit and book fees are received by mail.

Thank you for completing the registration form. Please be sure to fill out the Emergency Contact & Waiver form (located on the Temple Sinai website). One form is required per family, and your child(ren) can not attend school until it is received by the Education Office.

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.
Total: