Ta’am: A Taste of Religious School

Join us for Ta’am, a new program offering a “Taste of Religious School” for our Pre-K students.

Classes will take place weekly on Mondays from 3:10-4:00pm and offer a taste of our formal Religious School program – music, art, values-based curriculum, holidays, and more.

This program is open to non-member families at a cost of $1000.

Parent Information

* Primary Parent Full Name (First + Last)

* Email

* Cell Phone

* Mailing Address

Secondary Parent Full Name (First + Last)

Cell Phone

* Emergency Contacts - Please provide name, relationship, and contact information

* Please list the names and contact details for anyone who has permission to pick-up your child.

* ACTIVITY PERMISSION - 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.

ACTIVITY PERMISSION - 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.

* PHOTO PERMISSION - I authorize photographs or videos of my child(ren) to be used in Temple Israel’s promotional and marketing materials or media. I understand that photos will not be accompanied by names without specific permission requested.

* Family Medical/Hospital Insurance Information - Please upload a copy of your family's insurance information if this is the first time you are submitting this form or if anything has changed since the last time you did so.

PLEASE INCLUDE: Plan Name/Carrier, Name of Insured, Group Number, Policy Number, Carrier Address, Claims/Phone Authorization Number, Co-Pay Amount.

Student Information

* Child's Name (First + Last)

* Pronouns

* Birthday

* What school will your child attend for 2023-2024? Please share the name of institution.

If you do not yet know the school your child will attend, please write "Not known at this time."

* T-shirt/Sweatshirt Size:

* Is there any scheduling information we should be aware of?

If you or do not anticipate having and scheduling hiccups during class time, please write "None."

* Please elaborate on any important recent events or changes in your child's life that should be brought to our attention. These details will help to ensure that we can provide the best social-emotional environment for your child:

If there is no relevant information, please write "None."

* Please list any learning or social needs your child has. This information will help to ensure we can provide the best experience for your chilld.

If there is nothing speical to note, please write "None."

* Please elaborate on any details or strategies that have been successful in creating an optimal learning and social environment for your child:

If there is nothing special to note, please write "None."

* Would you like to follow up with Rabbi Buyer-Witman, Director of Lifelong Learning, about any of the above?

* Please list all known allergies for your child (seasonal, environmental, food, or medication):

If there is nothing to note, please write "None."

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

* Does the student require access to an Epi-Pen?

* Does the student require access to an inhaler?

Is there anything else you would like to share about your child or their registration?

Religious School Policy Agreements

I confirm that that my family are not members of Temple Israel.

I confirm that I have read the 2023-2024 Religious School Parent Handbook and am familiar with all of the terms and conditions outlined in that document.

I confirm that I have read the 2023-2024 Religious School Parent Handbook and am familiar with all of the terms and conditions outlined in that document. 2023-2024 Religious School Parent Handbook

Parent Information

Student Information

Religious School Policy Agreements

Payment

After-School Enrichment

Challah Registration

Pizza Registration