2023-2024 Academy Trips - TI Member Not Enrolled in Academy - Form

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2023-2024 Academy Trips - TI Member Not Enrolled in Academy

Thank you for your interest in Academy trips for 2023-2024.

The educational value and social experiences which our teens receive by participating in our Academy trips is unparalleled. Temple Israel is there committed to ensuring that any member teen who wishes to travel has the opportunity to do so. Therefore, the out-of-pocket cost to Temple Israel families is graciously subsidized, and additional scholarships may be available for those enrolled in our All-Access program. Financial expense should be not the deciding factor in a family's decision.

8th and 9th graders will travel together with teens from Stephen Wise Free Synagogue to Georgia and Alabama to explore the sites of the Civil Rights Movement and the legacy of this transformative time. In Atlanta, we will see the burial site and childhood home of Dr. Martin Luther King, Jr. and unpack the story of Leo Frank – made famous by the Broadway musical Parade. In Birmingham, we will see Kelly Ingram Park, where peaceful were infamously broken up with high-pressure water cannons and dogs. In Selma, we will walk across the Edmund Pettus Bridge, site of John Lewis’s famous march for voting rights. And in Montgomery, we will visit the memorial for lynchings, the site where Rosa Parks refused to give up her seat, and the Southern Poverty Law Center an organization that today monitors hate speech and prejudice against any group. Along the way, we will learn about the role Jews played in the movement and the implications of that activism for us The trip will depart in the early morning of Friday, February 16 and return in the early evening of Monday, February 19.

10^th-12^th graders will travel together with teens from Stephen Wise Free Synagogue to Berlin, capital of Germany for a long weekend of Jewish history and culture. Few countries embody so many historical contradictions: Enlightenment high culture, a dramatic descent into depravity, and an ongoing confrontation with past sins. The most powerful country in Europe - with fast-growing Jewish and refugee communities - holds the keys to the continent's past and future. As such we will look at the Jewish culture that existed from the Middle Ages until the modern area. Part of that exploration will include the birth of the Reform Movement in the 1800s as Jews strived to assimilate into broader culture. We will of course look at the Nazi era and the Cold War that followed, with a particular emphasis the legacy that both have today. The trip will depart in the mid-afternoon of Thursday, February 15 and return in the early evening of Tuesday, February 20.

10th-12th graders can also attend the L'Taken (Hebrew for "to change") Seminar in Washington, DC. Working in partnership with the Religious Action Center, the Reform movement's advocacy arm in our nation's capitol, teens will learn about the complex and nuanced nature lobbying and how it plays a role in today's political system. Participants will also unpack current issues which are being debated in Congress, ultimately picking one of their own and creating a speech about it which they will deliver on Capitol Hill! Time will also be allocated for visits to the US Holocaust Museum, the MLK memorial, and the Smithsonian museums on the National Mall. The trip will depart mid-afternoon on January 26 and return in the evening on January 29. Limited space is available, and priority registration will be given to those teens who cannot join us in Berlin.

A note about trip pricing:

The costs of each trip are outlined below at the very bottom of this form. Please note that pricing differs based on the level of engagement a teen has with our Academy and YETI programs:

In recognition of their year-long investment in our teen offerings, Academy All-Access members are eligible for our largest subsidy of the trip cost. In addition, payment plans and/or scholarships may be available for families who request them.
Temple Israel Members Not-Enrolled will receive a moderate subsidy in the cost, as well as the option to pay in installments with a payment plan.
Non-Member Families are asked to the pay the full trip cost at the time of registration.

To continue, please agree to the following terms:

* All trip fees are refundable until October 1 for all programs. After that date, deposits and payments which we begin to make to trip providers become non-refundable. We will try to refund any portion of your payment which we can, less any expenses which we cannot get back.

All trip fees are refundable until October 1 for all programs. After that date, deposits and payments which we begin to make to trip providers become non-refundable. We will try to refund any portion of your payment which we can, less any expenses which we cannot get back.

* The B'rit Kehillah (Community Agreement) can be found below. I have read this document and am aware of the behavioral expectations that will be placed on my teen(s), as well as the repercussions for any violations. I will download a copy of this document and review with my child the importance of abiding by it. I will make clear that a violation of the B'rit Kehillah may result in their being sent home early from the trip at my expense.

The B'rit Kehillah (Community Agreement) can be found below. I have read this document and am aware of the behavioral expectations that will be placed on my teen(s), as well as the repercussions for any violations. I will download a copy of this document and review with my child the importance of abiding by it. I will make clear that a violation of the B'rit Kehillah may result in their being sent home early from the trip at my expense.Click here to view the brit kehillah (We suggest you right-click to open in a new window.)

* I give permission for my child(ren) to take part in any and all authorized activities of the Religious School, including trips that may be made away from the Temple premises. Specific details will be sent out in advance of any excursion. I release the Religious School and Temple Israel and all its agents and employees from any liability for any accident in connection with these activities other than as a result of gross negligence of the Religious School or Temple Israel and its agents and employees. I indemnify the Religious School and Temple Israel from any loss or liability they may incur as a result of any damages or injuries caused by the student.

I give permission for my child(ren) to take part in any and all authorized activities of the Religious School, including trips that may be made away from the Temple premises. Specific details will be sent out in advance of any excursion. I release the Religious School and Temple Israel and all its agents and employees from any liability for any accident in connection with these activities other than as a result of gross negligence of the Religious School or Temple Israel and its agents and employees. I indemnify the Religious School and Temple Israel from any loss or liability they may incur as a result of any damages or injuries caused by the student.

* I acknowledge that I may not be available to provide consent for medical treatment in the event my child(ren) becomes sick or is injured while attending the Religious School. In the event that I am not able to give such consent, I hereby authorize representatives of the Temple Israel Religious School to act on my behalf with respect to the required medical treatment, decisions and consents, until such time as I am able to provide them.

I acknowledge that I may not be available to provide consent for medical treatment in the event my child(ren) becomes sick or is injured while attending the Religious School. In the event that I am not able to give such consent, I hereby authorize representatives of the Temple Israel Religious School to act on my behalf with respect to the required medical treatment, decisions and consents, until such time as I am able to provide them.

* I hereby notify any qualified medical personnel that this authorization is currently in effect and such personnel are hereby directed to act upon this authorization without delay. I understand that every effort will be made by the Religious School or those acting on its behalf to contact parent(s), the child(ren)'s physician and/or the emergency alternative contact number listed herein.

I hereby notify any qualified medical personnel that this authorization is currently in effect and such personnel are hereby directed to act upon this authorization without delay. I understand that every effort will be made by the Religious School or those acting on its behalf to contact parent(s), the child(ren)'s physician and/or the emergency alternative contact number listed herein.

* Please upload a copy of the insurance card for all teens whom you are registering:

Please be sure all relevant details are visible. For example: Plan Name/Carrier, Name of Insured, Group Number, Policy Number, Carrier Address, Claims/Phone Authorization Number, Co-Pay Amount.

Please share below the relevant details of your insurance policy:

Please be sure to include all relevant details. For example: Plan Name/Carrier, Name of Insured, Group Number, Policy Number, Carrier Address, Claims/Phone Authorization Number, Co-Pay Amount.

This section should be completed by the parent or legal guardian.
All fields marked with an * are required. You will not be able to submit the form without completing them.

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email for Registration Confirmation

* Parent 1 Cell Phone

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email for Registration Confirmation

Parent 2 Cell Phone

* Name of Emergency Contact 1

Parents and/or guardians will always be our first contacts, including the ones not filling out this form. Please list other emergency contacts who can be reached during the travel experience you are registering for in the event that we are unable to reach any of you the teen's parents/guardians.

* Relationship of Emergency Contact 1

* Phone Number for Emergency Contact 1

* Name of Emergency Contact 2

See note above.

* Relationship of Emergency Contact 2

* Phone Number for Emergency Contact 2

* How many teens are you registering?

Teen 1 First Name

Teen 1 Last Name

Teen 1 Date of Birth

Teen 1 Gender

MUST match what appears on passport for Berlin trip

Teen 1 Cell Phone

Teen 1 Email

Teen 1 Sweatshirt/Jacket Size

* What school does Teen 1 attend during the 2023-2024 school year?

* Please list any allergies (seasonal, environmental, food, or medication) for Teen 1:

* Please list any medications (prescription or over-the-counter) that you anticipate Teen 1 will be taking during the trip. Be sure to note the name of the drug, its purpose, the dosage amount, and the frequency:

If None, please write "N/A."

* The Department of Lifelong Learning can administer the following over-the-counter medicines to Teen 1. All medicines will be given in accordance with the dosage instructions for my child’s age/weight.

* Does Teen 1 require an Epipen?

YesNoIf yes, please contact our office to discuss details for bringing this item on the trip.

* Does Teen 1 require an inhaler?

YesNoIf yes, please contact our office to discuss details for bringing this item on the trip.

Please share Teen 1's Delta SkyMiles number (if applicable):

Please share Teen 1's TSA PreCheck or Global Entry number (if applicable):

* Is there anything else we should know about? This might include medical needs, social considerations, etc..

* Is Teen 1 registering for the Berlin trip?

Please share Teen 1's passport number

Please note Teen 1's passport expiration date:

Per international travel protocols followed by governments and airlines, passports MUST be a valid for at least 6 months after travel is scheduled to end. Teens will not be allowed to board flights if their passport expires before this window.

Please upload a copy of Teen's 1 passport photo page

Teen 2 First Name

Teen 2 Last Name

Teen 2 Date of Birth

Teen 2 Gender

MUST match what appears on passport for Berlin trip

Teen 2 Cell Phone

Teen 2 Email

Teen 2 Sweatshirt/Jacket Size

* What school does Teen 2 attend during the 2023-2024 school year?

* Please list any allergies (seasonal, environmental, food, or medication) for Teen 2:

* Please list any medications (prescription or over-the-counter) that you anticipate Teen 2 will be taking during the trip. Be sure to note the name of the drug, its purpose, the dosage amount, and the frequency:

If None, please write "N/A."

* The Department of Lifelong Learning can administer the following over-the-counter medicines to Teen 2. All medicines will be given in accordance with the dosage instructions for my child’s age/weight.

* Does Teen 2 require an Epipen?

YesNoIf yes, please contact our office to discuss details for bringing this item on the trip.

* Does Teen 2 require an inhaler?

YesNoIf yes, please contact our office to discuss details for bringing this item on the trip.

Please share Teen 2's Delta SkyMiles number (if applicable):

Please share Teen 2's TSA PreCheck or Global Entry number (if applicable):

* Is there anything else we should know about? This might include medical needs, social considerations, etc..

* Is Teen 2 registering for the Berlin trip?

Please share Teen 2's passport number

Please note Teen 12s passport expiration date:

Please upload a copy of Teen's 2 passport photo page

Payment by credit card is due at the time this form is submitted. Costs are listed at the bottom of form, just before you click "Submit". If you are requesting a payment plan, a deposit is due with your submission; a member of our finance department will be in touch to discuss further details. If not, full payment will be due with your submission.

* Are you requesting a payment plan for Teen 1?

* Select the trip Teen 1 will be joining us for

8th & 9th Grade Civil Rights10th-12th Grade Berlin10th-12th Grade Washington

* Select the trip Teen 1 will be joining us for:

8th & 9th Grade Civil Rights10th-12th Grade Berlin10th-12th Grade Washington

* Are you requesting a payment plan for Teen 2?

* Select the trip Teen 2 will be joining us for

8th & 9th Grade Civil Rights10th-12th Grade Berlin10th-12th Grade Washington

* Select the trip Teen 2 will be joining us for:

8th & 9th Grade Civil Rights10th-12th Grade Berlin10th-12th Grade Washington

EXPLANATION OF COSTS
The educational value and social experiences which our teens receive by participating in our Academy trips is unparalleled. Temple Israel is there committed to ensuring that any member teen who wishes to travel has the opportunity to do so. Therefore, the out-of-pocket cost to Temple Israel families is graciously subsidized, and additional scholarships may be available for those enrolled in our All-Access program.

For Academy All-Access
Civil Rights - full payment - $1250 (through June 30) or $1500, $500 deposit for scholarship, $500 deposit for payment plan
Berlin - full payment - $2250 (through June 30) or $2500, $500 deposit for scholarship, $500 deposit for payment plan
Washington – full payment - $1000 (through June 30) or $1250, $500 deposit for scholarship, $500 deposit for payment plan

For TI Member Family Not-Enrolled (registration opens July 1)
Civil Rights – full payment - $1750, $500 deposit for payment plan
Berlin - full payment - $2750, $500 deposit for payment plan
Washington – full payment - $1500, $500 deposit to payment plan

For Non-Member Families (registration opens July 1)
Civil Rights – full payment - $2500
Berlin - full payment - $3500
Washington – full payment - $2000

*Parents MUST pay by credit card when submitting application - either full cost or the deposit amount if requesting scholarship and/or payment plan.

Tue, May 21 2024
13 Iyar 5784

After-School Enrichment

Our after-school enrichment programs are a great way to supplement your child’s school day in a safe and age-appropriate environment. There are a wide variety of choices each semester to cater to your child’s individual interests.

Challah Registration

There is no more perfect way to celebrate the end of the school week and the beginning of Shabbat than with a yummy, freshly baked challah. Whether your child is bringing home chocolate chip or whole wheat, you will always be prepared for Friday Night with leftovers for French toast on Saturday morning!

Pizza Registration

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Tue, May 21 2024 13 Iyar 5784