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School Registration Form 2017-2018

Rabbi Rick Schechter; Cantor Steve Hummel; Carolyn Moore-Mooso, RJE, Director

Both NEW and RETURNING families must fill out this registration form.
NO PAYMENT IS DUE IF YOU ARE A CURRENT MEMBER OF TEMPLE SINAI. ONLY FILL OUT THE TUITION INFORMATION IF YOU ARE A NEW FAMILY.
f you have any questions please reach out to SusanHain@hotmail.com

Last Name, First Name

(xxx) xxx-xxxx

(xxx) xxx-xxxx

Last Name, First Name

Yes

(xxx) xxx-xxxx

(xxx) xxx-xxxx

Please List all the children you are enrolling at Temple Sinai

Last Name, First Name

MM/DD/YY

How many years of Hebrew education has your child had AND where?

Last Name, First Name

MM/DD/YY

How many years of Hebrew education has your child had AND where?

Last Name, First Name

MM/DD/YY

How many years of Hebrew education has your child had AND where?

If your child’s school is on a non-traditional schedule, please list below the dates of vacation periods AND send a copy of the schedule to the school office.

If you would prefer to discuss any of the above personally and confidentially with the Director of Education or the Rabbi, please indicate your wish for a call by checking this box.

ONLY FILL OUT THIS SECTION IF YOU ARE A NEW MEMBER.

Please type in the number of children you are registering per grade

Student 1

Last Name, First Name

MM/DD/YY

(xxx) xxx-xxxx

If the school cannot contact a parent, name a relative or friend who may be called upon if your child is ill.

Please list at least two Emergency Contacts

I Agree

The School has my permission to authorize emergency medical treatment for my child. I understand that in a medical and/or disaster emergency situation the judgment of the school authorities will prevail. Anytime the above information must be changed, I will notify the school in writing.

Student 2

Last Name, First Name

MM/DD/YY

(xxx) xxx-xxxx

If the school cannot contact a parent, name a relative or friend who may be called upon if your child is ill.

Please list at lease two Emergency Contacts

I Agree

The School has my permission to authorize emergency medical treatment for my child. I understand that in a medical and/or disaster emergency situation the judgment of the school authorities will prevail. Anytime the above information must be changed, I will notify the school in writing.

Student 3

Last Name, First Name

MM/DD/YY

(xxx) xxx-xxxx

If the school cannot contact a parent, name a relative or friend who may be called upon if your child is ill.

Please list at least two Emergency Contacts

I Agree

The School has my permission to authorize emergency medical treatment for my child. I understand that in a medical and/or disaster emergency situation the judgment of the school authorities will prevail. Anytime the above information must be changed, I will notify the school in writing.

Agreement

In case of an EMERGENCY (bomb threat, earthquake, flooding, etc.) students will be kept at school or evacuated to a safe location until the parent or one of the below named people arrives. Students WILL NOT be released to any other adult unless written or verbal communication from the parent is obtained.

A doctor’s prescription is required to administer ANY and ALL medication. This includes all brand and generic forms of non-prescription medications (e.g., Tylenol, Advil and Motrin). Should your child require medication during his / her attendance at School, the medication must be in the original container with current printed prescription instructions on the container.

I / We request that medication(s) be administered to our child if needed during and after an emergency by the School staff, faculty and / or clergy. It is understood that the School is not legally obligated to administer medication to my child, therefore, I agree to indemnify and hold the Temple Sinai faculty, staff and / or clergy and its agents harmless from any and all claims, demands, suits, challenges, or other action arising from the administration of medication or the provisions of special services as outlined in this document.

List all people who may pick up your child from School or in an emergency situation AND their phone numbers.

INSTRUCTIONS: Identify ALL phone numbers for the times your child (ren) will be at the Temple Sinai School.

(xxx) xxx-xxxx

(xxx) xxx-xxxx

(xxx) xxx-xxxx

My child(ren) are in a carpool WITH AN OPEN SPOT
My child(ren) are in a FULL carpool
My child(ren) will attend Sunday morning and I need help in finding a carpool or another transportation arrangement
My child(ren) will attend Monday afternoon and I need help in finding a carpool or another transportation arrangement
My child(ren) will attend Wednesday afternoon and I need help in finding a carpool or another transportation arrangement

How many children will attend on:

Yes
No
SUNDAY
MONDAY
WEDNESDAY
BOTH
TO SCHOOL
FROM SCHOOL
SUNDAY
MONDAY
WEDNESDAY
SUNDAY
MONDAY
WEDNESDAY

Please list one child per line

Our students’ Jewish education can be greatly enriched by hands-on activities like art projects and cooking and by field trips and special events in the larger Jewish community. Learning from community members who have special knowledge or experiences to share enhances our education program and provides insights to students from a variety of perspectives. Additionally, classroom, faculty and school communications improve when parents are involved in the coordination of special events, holiday celebrations, weekly snacks and grade specific activities.

In all these areas, parent volunteers can help! Please review the list below and mark areas in which you can participate.

To achieve efficient and effective class communication, it is CRITICAL to have ONE OR TWO PARENTS serve as parent coordinators for each class.

Parent Coordinator - By Myself
Parent Coordinator - Working with another parent
Cooking, art or other class projects needing adult supervision and assitance
Purim Carnival set up
Purim Carnival booth
Purim Carnival tear down
Purim Prize Room Assistance
Model Seder preparation and set up
Model Seder supervision and participation
Model Seder clean up
Speaking to the class/school - describe in comments below
Field trip driver
Substitute teacher
Filing, typing, school mailings
Host a class Shabbat or Havdalah pot-luck in my home
Other
I cannot volunteer this year

You're Done!
Please click "Register" only once. It should take about 1 minute to process and confirm your registration. Thank you!

Account Details

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Payment Information

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