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Temple Emanuel Religious School Registration 2019-2020 (5779)




Please make sure that you complete and review all information for each child as well as the PARENT Information section and TRANSPORTATION information section before submitting. As we prepare our Religious school classes and curriculum for the coming year, we want to be sure that each student has an opportunity to have an exciting and engaging experience. We will be limiting our class sizes this year. Please register your child(ren) early to insure they are placed in the class they would like. Once a class is full, we will have a waitlist available.

I am a member of the Synagogue
I am NOT a member, I would like to be contacted about Membership

Listed below is the Emergency Contact for my/our child/ren in the event that I/we cannot be reached:

I give my permission to the following persons to transport my child/ren to and or from TE:

The Following Person/People are NOT authorized to pick up my child/ren:

My child/ren will be participating in a carpool with the following families:

I/we permit our address, phone number and email to be published on class lists.
I permit my child/ren's picture to be used for publicity purposes.
I would like to volunteer as a class parent.
I am not able to volunteer as a class parent, but may be called upon to help if needed.
I would like to participate on the Education Committee.

Please make sure to complete ALL the information requested for each child.

Child #1

Sunday School
Tuesday 4:15 - 6:16
Tuesday Hebrew High
Wednesday 4:15 - 6:15

Confidential Educational Information:

My child has an IEP. I know that I am responsible to provide documentation updated for the 2019-2020 school year before the beginning of school. Students will only receive special services (Resource Room) if IEP is current for the upcoming year. Please remember to make an appointment with Dr. Rena to bring in and discuss (this is a year requirement) before the school year begins.
I give my permission for you to contact the following provider of Special Services if the need arises.
This information may be shared with program coordinator(s) and/or my child's teacher.

Confidential Medical Information:

My child has a 504 and I will provide current written documentation before the beginning of the 2019-2020 school year.

Child #2

Sunday School
Tuesday 4:15 - 6:16
Tuesday Hebrew High
Wednesday 4:15 - 6:15

Confidential Educational Information:

My child has an IEP. I know that I am responsible to provide documentation updated for the 2019-2020 school year before the beginning of school. Students will only receive special services (Resource Room) if IEP is current for the upcoming year. Please remember to make an appointment with Dr. Rena to bring in and discuss (this is a year requirement) before the school year begins.
I give my permission for you to contact the following provider of Special Services if the need arises.
This information may be shared with program coordinator(s) and/or my child's teacher.

Confidential Medical Information:

My child has a 504 and I will provide current written documentation before the beginning of the 2019-2020 school year.

Child #3

Sunday School
Tuesday 4:15 - 6:16
Tuesday Hebrew High
Wednesday 4:15 - 6:15

Confidential Educational Information:

My child has an IEP. I know that I am responsible to provide documentation updated for the 2019-2020 school year before the beginning of school. Students will only receive special services (Resource Room) if IEP is current for the upcoming year. Please remember to make an appointment with Dr. Rena to bring in and discuss (this is a year requirement) before the school year begins.
I give my permission for you to contact the following provider of Special Services if the need arises.
This information may be shared with program coordinator(s) and/or my child's teacher.

Confidential Medical Information:

My child has a 504 and I will provide current written documentation before the beginning of the 2019-2020 school year.

Parental Agreement and Release

I approve of the above information and registration for my child/ren. I understand that the Director of Congregational Learning or another member of the Temple staff will contact me in case of an emergency. If I am going to be out of town, I will provide information as to how I can be reached in case of an emergency. I hereby grant to the Director to hospitalize, secure proper treatment, order injection, anethsesia or surgery for my child as a result of the foregoing.

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

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