2024-2025 Academy Travel Seminars - Non-Member Family - Form

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2024-2025 Academy Travel Seminars - Non-Member Family

Thank you for your interest in our Academy Travel Seminars for 2024-2025.

8th and 9th graders will travel together with teens from Stephen Wise Free Synagogue & Temple Emanu El to Arizona to explore issues of immigration justice and border security. The trip will depart in the early morning of Friday, February 14 and return in the early evening of Monday, February 17. Together with our travel partner, Tzedek America, we will meet with organizations and people directly affected by the flow of migrants crossing into the United States. We will explore what happens when immigration and enforcement collide; how can we uphold the central Jewish principle, “Do not oppress the stranger,” when the stranger is in violation of federal law? As we seek to answer this question, we will meet with ICE and border patrol agents, asylum seekers, activists, politicians, DACA recipients, and humanitarians. ***And save the date for our 10^th-12^th grade Israel travel seminar, which will take place during December Break in 2025.***

10^th-12^th graders can join us for an exciting and immersive academic travel seminar to Madrid, where history will come to life as we explore the vibrant and unique Jewish heritage of Spain from February 13-18, 2025 (with an afternoon departure and midday return)! In partnership with Temple Emanu El and Stephen Wise, we will see historic Sephardic synagogues, fascinating museums, sites from the Golden Age of Jewish Enlightenment, and confront the Inquisition. Iconic landmarks await in the nearby city of Toledo, the Medieval hub of Jewish life, where great thinkers like Maimonides, Yehuda Halevi, and Abraham ibn Ezra created literary works which still guide the Jewish people today! Firsthand interactions like Shabbat with the local community and a visit to a Jewish high school will allow us to engage in in deep thinking about Jewish identity, history, and culture amidst the natural beauty and energy of one of Europe’s great cities. This is an incredible opportunity to connect with the past, have fun with friends, and deepen your understanding of Jewish heritage in Europe! ***And save the date for our 10^th-12^th grade Israel travel seminar, which will take place during December Break in 2025.***

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.

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

* Address Line 1

Address Line 2

* City

* State

* Zip Code

* 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 Israel trip

Teen 1 Cell Phone

Teen 1 Email

Teen 1 Sweatshirt/Jacket Size (all sizes are unisex)

* What school does Teen 1 attend during the 2024-2025 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.

Tylenol or genericAdvil, Motrin, or genericPepto Bismol, Tums, or genericRobitussin, cough drops, or genericPlease check all that apply above.

* 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 American AAdvantage 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 Madrid 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 Israel trip

Teen 2 Cell Phone

Teen 2 Email

Teen 2 Sweatshirt/Jacket Size (all sizes are unisex)

* What school does Teen 2 attend during the 2024-2025 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.

Tylenol or genericAdvil, Motrin, or genericPepto Bismol. Tums, or genericRobitussin, cough drops, or genericPlease check all that apply above.

* 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 American AAdvantage 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 Madrid trip?

Please share Teen 2's passport number

Please note Teen 2's passport expiration date:

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

Payment in full 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".

* Select the trip Teen 1 will be joining us for

8th & 9th Grade Arizona10th-12th Grade Madrid

* Select the trip Teen 2 will be joining us for

8th & 9th Grade Arizona10th-12th Grade Madrid

* My families are members of another congregation:

* Please list the name of the congregation that your family belongs to:

* I understand that my family is subject to a surcharge as we are not members of any congregation.

This additional fee will applied to the total cost below.

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
Arizona - full payment - $1500 (through Sep 30 or $1750, $500 deposit for scholarship, $500 deposit for payment plan
Madrid - full payment - $2750 (through Sep 30) or $3000, $500 deposit for scholarship, $500 deposit for payment plan

For TI Member Family Not-Enrolled
Arizona – full payment - $2000, $500 deposit for payment plan
Madrid - full payment - $3250, $500 deposit for payment plan

For Non-Member Families (registration opens October 1)
Arizona – full payment - $2250 if members of another congregation, $2750 if unaffiliated
Madrid - full payment - $3500 if member of another congregation, $4000 if unaffiliated

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

Sun, December 22 2024
21 Kislev 5785

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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Sun, December 22 2024 21 Kislev 5785