We are so excited to have your family join the Temple Israel Religious School in 2023-2024.
Section A: Family Contact Information
* State (Primary)--Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Section B: Student Enrollment Information
* Student 1 Grade in Religious SchoolPlease Select One Transitional Kindergarten Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade
Hebrew Session Early or Late * Student 1 Special Learning NeedsStudent 1 Allergy/Medication Details Please describe allergies and medications with dosage and timing.
* Student 2 Grade in Religious SchoolPlease Select One Transitional Kindergarten Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade
* Student 2 Special Learning NeedsStudent 2 Allergy/Medication Details Please describe allergies and medications with dosage and timing.
* Student 3 Grade in Religious SchoolPlease Select One Transitional Kindergarten Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade
Hebrew Session Early or Late * Student 3 Special Learning NeedsStudent 3 Allergy/Medication Details Please describe allergies and medications with dosage and timing.
* Student 4 Grade in Religious SchoolPlease Select One Kindergarten Transitional Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade
* Student 4 Special Learning NeedsStudent 4 Allergy/Medication Details Please describe allergies and medications with dosage and timing.
MEDICAL RELEASE: I HEREBY grant permission to Temple Israel of Alameda to call a physician for necessary medical care or hospitalization for my child in case of an emergency, after attempting to notify me first. In case of injury (if I/we are not available), I/we the undersigned parent(s) or legal guardian(s) of my child, do hereby authorize the personnel of Temple Israel of Alameda to administer necessary first aid and release the child to an emergency hospital or center for further treatment.
I give my child permission to attend any and all programs and field trips sponsored by Temple Israel of Alameda Religious School during the 2023-24 school year. I understand and give permission for my child to be transported by bus, van, or car with staff and/or authorized parents. I hereby release Temple Israel of Alameda, their employees, and any designated agents from any and all liability in the case of accident or injuries incurred while traveling to, or participating in, programs and events sponsored by the Temple Israel both at the synagogue location and off-site. I understand that due caution and supervision will be provided at all times by Temple Israel of Alameda, its employees and agents.
Health Insurance Company Name, Phone Number and Insurance ID Number
TEMPLE ISRAEL OF ALAMEDA MEDIA AUTHORIZATION: Many photos are taken during the school year, both at Temple Israel and during special events.
I authorize my child's photograph to be used in various Temple Israel publications, including, but not limited to, our synagogue website, social media sites, and other publicity materials. STUDENTS ARE NEVER IDENTIFIED BY NAME in any publicity.
Section D: Congregation Community
You may have noticed that at the top of the form we begin with family information. This is intentional. The work of raising and educating Jewish children cannot be done in the school alone, but is a project of the school, the family and the community. You are not just registering your child(ren) for Temple Israel Religious School today, but in fact your entire family. When you come in the building and spend time learning and volunteering with us, you make a powerful statement to your children that Jewish learning is a lifelong process and that we are all on the same team in creating these experiences for them. Don’t underestimate the subtle power of this statement!
Any other skills or talents you might be willing to share?
Section E: Payment Information
Please select the option to charge the enrollment fee to your account when you submit this form. That way, the enrollment process completes without us receiving payment. After we confidentially discuss what you can reasonably contribute, our Children's Fund will help cover the rest of the tuition cost.
If you have questions, please contact Rabbi Minster,
r abbi@templeisraelalameda.org
