2024-2025 Teen Programming - Member Not Enrolled - Form - Temple Israel of the City of New York

Our new Academy structure allows teens to engage with our varied offerings as much or as little as they wish to do so. Our Academy "All-Access" option allows an all-inclusive pricing structure for member families who wish to take advantage of all we have to offer.

Temple Israel member teens can take part in our programming with a flexible pay-as-you-go option for the following programs by completing the form below:

Monthly Sunday evening sessions, 5-7pm, dates listed below - price is $36 per session and covers the costs of snacks, speaker fees, programming materials, etc.
Monthly weekend youth group events, details times tbd by our teen leadership. Tentative dates listed below - $36-$50 per session, depending on the event.
Madrichim program (for TI-member teens only) - volunteer in a Religious School/Jr Academy classroom or tutor B'nai Mitzvah students during the year. $118 fee for the year covers all training and materials.

Our open tent allows teens who are not members of Temple Israel to participate as well. They simply need to complete the Teen Programming Non-Member form to register for each event

Parent Information

* Primary Parent Full Name (First + Last)

* Email

* Cell Phone

* Mailing Address

* City

* State

* ZIP Code

Secondary Parent Full Name (First + Last)

Cell Phone

* NON-PARENT Emergency Contact Name (First + Last)

* Relationship to the teen

* Cell Phone

Student Information

* Teen Name (First + Last)

* Pronouns

* Birthday

* Teen Email

* Teen Cell Phone

* What school does the teen attend? (2024-2025 academic year)

* What grade is the teen?

* Please list all known allergies for the teen (seasonal, food, environmental, medication, etc.):

* The staff of the Department of Lifelong Learning can administer the following over-the-counter medications to my child. All drugs will be given in accordance with the dosage instructions for my child's age/weight. In some cases, generic or store-brand meds may be used instead of the brand name listed below.

* Does your child need an inhaler?

* Does your child need an Epi-Pen?

* 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'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's physician and/or the emergency alternative contact number listed herein.

* My child has permission to self-dismiss from events.

Students without permission to self-dismiss will need to be met at the event by an authorized adult.

* Please list the name(s) and phone number(s) of any and all persons who have permission to pick-up your chil(ren) from school. We can only send a child home with an adult listed in this field. Please note the relationship your child(ren) has to each individual, particularly if there are additional parents or guardians other than the individuals listed above.

Registration Details

* I confirm that my family are dues-paying members of Temple Israel in good standing for the 2024-2025 membership year. My teen is NOT otherwise enrolled in Academy All-Access as of the date I am submitting this form.

I confirm that my family are dues-paying members of Temple Israel in good standing for the 2024-2025 membership year. My teen is NOT otherwise enrolled in Academy All-Access as of the date I am submitting this form.

* Madrichim Program - classroom and tutoring volunteers: My child is interested in participating in the Madrichim program as a classroom assistant for younger students at cost of $118 for the year. They will review the 2024-2025 Madrichim Information and Registration Form (see link below) and submit their application as soon as possible.

2024-25 Madrichim Application

* My child wishes to attend the following YETI social events.

November 24 - Lunch after Rise Against HungerDecember 6 - Escape RoomJanuary - date and event tbdMarch 2 - combined Academy/YETI Event (see above)April - date and event tbdMay - date and event tbdNone of the aboveI am interested in participating, but I am unsure of my availability

2024-2025 Teen Programming - Member Not Enrolled

After-School Enrichment

Challah Registration

Pizza Registration