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Home > Learning > Religious School Registration 2022-23

Religious School Registration 2022-23

Religious School Enrollment 2022-23

Temple Brith Kodesh You Belong Here! Religious School Registration 2022-23
Temple B’rith Kodesh has always placed great importance on educating our youth. In fact, the Temple Board has had a longstanding objective to provide Religious School as a part of membership. Educating our children is a core Jewish value and is fundamental to TBK's mission and vision. Our dynamic and engaging Religious School has always been committed to helping develop and empower the next generation of Jews.
We are happy to announce that Temple B’rith Kodesh membership now includes Religious School without a separate per-child tuition fee.
Click here to read more about how we are able to offer Religious School as part of TBK membership.
REGISTER FOR 2022-23 RELIGIOUS SCHOOL Click the checkbox to confirm you are currently a TBK member. Click the checkbox to confirm you are currently a TBK member.Registration is open for families that are current TBK members. If you are not yet a member, we welcome you to join us and then register for Religious School! Please contact Terri Richardson by email or by calling (585) 244-7060 to find out more about our Give to Your Heart's Content (GTYHC) voluntary commitment model. Combined with the new school model, our goal is to remove any financial barriers to being involved in the TBK community. PARENT INFORMATION Parent #1 First Name Parent #1 Last Name Parent #2 First Name Parent #2 Last Name Parent #1 Address Parent #1 City/Town Parent #1 Zip Code Parent #2 Address (if different) Parent #2 City/Town Parent #2 Zip Code Parent #1 Email Parent #1 Home Phone Parent #1 Work Phone Parent #1 Cell Phone Parent #2 Email Parent #2 Home Phone Parent #2 Work Phone Parent #2 Cell Phone EMERGENCY INFORMATION Emergency Contact (other than parents) Name Relationship Cell Phone Other Phone CHILD/CHILDREN INFORMATION CHILD #1 Child #1 Name (first & last) Gender MaleFemaleNon-Binary Date of birth Grade in Fall 2022 Hebrew name (English transliteration) OR Hebrew Name (using Hebrew keyboard) Preference for Hebrew (gr. 3 - 6) Tuesdays 4:00 - 5:30 pmSundays 8:30 - 9:15 am Vital Information for Child #1 The philosophy of Temple B’rith Kodesh emphasizes the uniqueness of each student. Therefore, it is important that we have specific information about each child which only you as a parent or guardian can provide. Your detailed replies will help us provide your child with the safest and most successful school year possible. Please list any allergies or other medical issues, including dietary restrictions and/or limitations on physical activities, that TBK should be aware of; and necessary procedures associated with those: Please list all medications currently being taken, including any for attention, learning, and/or social issues: Does your child have any challenges of which we should be aware? (Academic, behavioral, medical, social/emotional, other) Does your child have an Individualized Education Plan (IEP), Section 504 Plan? YesNo If Yes, please forward a copy to school@tbk.org (All information will remain confidential) Any information regarding home life/family circumstances or about your child that will be helpful for us to be aware of? Our goal is to provide your child with the best, most individualized experience possible. If you prefer to provide any of this information or additional information that may help us meet this goal through a meeting (in person, Zoom, phone) rather than on this form, please check here and you will be contacted: Yes, please contact me about my child Yes, please contact me about my child Required Vaccinations As the parent/legal guardian of the above-named child, I recognize that TBK requires that all children attending the Religious School be vaccinated according to the New York State vaccination schedule (used by NYS public schools), unless they are unable to do so for documented medical reasons. Until further notice, children who are eligible must be vaccinated against COVID-19. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible.Please contact us if your child is not vaccinated for medical reasons. By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). If you have no additional children to register, please scroll to the bottom and indicate how you would like to have the $50 per child registration fee processed, and then click "Submit Registration" CHILD #2 (if applicable) Child #2 Name (first & last) Gender MaleFemaleNon-Binary Date of birth Grade in Fall 2022 Hebrew name (English transliteration) OR Hebrew Name (using Hebrew keyboard) Preference for Hebrew (gr. 3 - 6) Tuesdays 4:00 - 5:30 pmSundays 8:30 - 9:15 am Vital Information for Child #2 The philosophy of Temple B’rith Kodesh emphasizes the uniqueness of each student. Therefore, it is important that we have specific information about each child which only you as a parent or guardian can provide. Your detailed replies will help us provide your child with the safest and most successful school year possible. Please list any allergies or other medical issues, including dietary restrictions and/or limitations on physical activities, that TBK should be aware of; and necessary procedures associated with those: Please list all medications currently being taken, including any for attention, learning, and/or social issues: Does your child have any challenges of which we should be aware? (Academic, behavioral, medical, social/emotional, other) Does your child have an Individualized Education Plan (IEP), Section 504 Plan? YesNo If Yes, please forward a copy to school@tbk.org (All information will remain confidential) Any information regarding home life/family circumstances or about your child that will be helpful for us to be aware of? Our goal is to provide your child with the best, most individualized experience possible. If you prefer to provide any of this information or additional information that may help us meet this goal through a meeting (in person, Zoom, phone) rather than on this form, please check here and you will be contacted: Yes, please contact me about my child Yes, please contact me about my child Required Vaccinations As the parent/legal guardian of the above-named child, I recognize that TBK requires that all children attending the Religious School be vaccinated according to the New York State vaccination schedule (used by NYS public schools), unless they are unable to do so for documented medical reasons.. Until further notice, children who are eligible must be vaccinated against COVID-19. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible.Please contact us if your child is not vaccinated for medical reasons. By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). If you have no additional children to register, please scroll to the bottom and indicate how you would like to have the $50 per child registration fee processed, and then click "Submit Registration" CHILD #3 (if applicable) Child #3 Name (first & last) Gender MaleFemaleNon-Binary Date of birth Grade in Fall 2022 Hebrew name (English transliteration) OR Hebrew Name (using Hebrew keyboard) Preference for Hebrew (gr. 3 - 6) Tuesdays 4:00 - 5:30 pmSundays 8:30 - 9:15 am Vital Information for Child #3 The philosophy of Temple B’rith Kodesh emphasizes the uniqueness of each student. Therefore, it is important that we have specific information about each child which only you as a parent or guardian can provide. Your detailed replies will help us provide your child with the safest and most successful school year possible. Please list any allergies or other medical issues, including dietary restrictions and/or limitations on physical activities, that TBK should be aware of; and necessary procedures associated with those: Please list all medications currently being taken, including any for attention, learning, and/or social issues: Does your child have any challenges of which we should be aware? (Academic, behavioral, medical, social/emotional, other) Does your child have an Individualized Education Plan (IEP), Section 504 Plan? YesNo If Yes, please forward a copy to school@tbk.org (All information will remain confidential) Any information regarding home life/family circumstances or about your child that will be helpful for us to be aware of? Our goal is to provide your child with the best, most individualized experience possible. If you prefer to provide any of this information or additional information that may help us meet this goal through a meeting (in person, Zoom, phone) rather than on this form, please check here and you will be contacted: Yes, please contact me about my child Yes, please contact me about my child Required Vaccinations As the parent/legal guardian of the above-named child, I recognize that TBK requires that all children attending the Religious School be vaccinated according to the New York State vaccination schedule (used by NYS public schools), unless they are unable to do so for documented medical reasons.. Until further notice, children who are eligible must be vaccinated against COVID-19. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible.Please contact us if your child is not vaccinated for medical reasons. By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). If you have no additional children to register, please scroll to the bottom and indicate how you would like to have the $50 per child registration fee processed, and then click "Submit Registration" CHILD #4 (if applicable) Child #4 Name (first & last) Gender MaleFemaleNon-Binary Date of birth Grade in Fall 2022 Hebrew name (English transliteration) OR Hebrew Name (using Hebrew keyboard) Preference for Hebrew (gr. 3 - 6) Tuesdays 4:00 - 5:30 pmSundays 8:30 - 9:15 am Vital Information for Child #4 The philosophy of Temple B’rith Kodesh emphasizes the uniqueness of each student. Therefore, it is important that we have specific information about each child which only you as a parent or guardian can provide. Your detailed replies will help us provide your child with the safest and most successful school year possible. Please list any allergies or other medical issues, including dietary restrictions and/or limitations on physical activities, that TBK should be aware of; and necessary procedures associated with those: Please list all medications currently being taken, including any for attention, learning, and/or social issues: Does your child have any challenges of which we should be aware? (Academic, behavioral, medical, social/emotional, other) Does your child have an Individualized Education Plan (IEP), Section 504 Plan? YesNo If Yes, please forward a copy to school@tbk.org (All information will remain confidential) Any information regarding home life/family circumstances or about your child that will be helpful for us to be aware of? Our goal is to provide your child with the best, most individualized experience possible. If you prefer to provide any of this information or additional information that may help us meet this goal through a meeting (in person, Zoom, phone) rather than on this form, please check here and you will be contacted: Yes, please contact me about my child Yes, please contact me about my child Required Vaccinations As the parent/legal guardian of the above-named child, I recognize that TBK requires that all children attending the Religious School be vaccinated according to the New York State vaccination schedule (used by NYS public schools), unless they are unable to do so for documented medical reasons.. Until further notice, children who are eligible must be vaccinated against COVID-19. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible. By checking this box (required), I acknowledge TBK's policy and certify that my child has been vaccinated according to the New York State vaccination schedule and has been vaccinated against COVID-19 if he/she is eligible.Please contact us if your child is not vaccinated for medical reasons. By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). By checking this box (required) I, the parent/guardian of the student named above, hereby gives my permission for he/she to participate in TBK’s Religious School program. I agree that TBK personnel may obtain medical treatment for my child in the case of an emergency while participating in the program. I understand that there is a $50 registration fee for each child. I agree that my child’s picture may be used in TBK publications and social media (without name being included). The registration fee of $50 per student supports our planning and processing costs. Thank you! Based on recent commitments of financial support from a generous group of donors, there is funding to support this initiative for three years, with the goal of identifying continuing support from congregants and community members that will allow this to continue beyond that time. Since the announcement of this new model, we have heard from several parents that they intend to contribute a portion of what they previously paid in tuition to the Religious School Education Fund to support this initiative. These are exciting times for the TBK Religious School and the generosity of our parents in support of our children is much appreciated! If you would like to make a donation of any amount in addition to the registration fee, please indicate below. Thank you! YES! I would like to make an extra donation to the TBK Education Fund in the amount of: Payment Method for Registration Fee(s) and additional donation (if any): Charge the amount to the charge card on file with TBKWill send check to TBK, 2131 Elmwood Ave., Rochester, NY 14618 Attn: School RegistrationCharge the amount to my credit card using information below: Name on credit card: Credit Card Number: Expiration Date (month/year): CVV code:

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Fri, March 31 2023 9 Nisan 5783

TEMPLE B'RITH KODESH

2131 Elmwood Avenue
Rochester, NY 14618
phone 585-244-7060 | fax 585-244-0557
email info@tbk.org

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