
Temple B'rith Kodesh You Belong Here! RELIGIOUS SCHOOL REGISTRATION 2025-26 From Rabbi Tulik: Preparations are well underway for the 2025-26 Religious School year! We are continuing our commitment to providing Religious School to all TBK members without a separate per-child tuition. The three-year experiment has shown a healthy increase in enrollment and engagement and we look forward to many years to come. Temple B’rith Kodesh has always placed great importance on educating our youth. 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 so grateful to our parents who choose to contribute additional funds to support our free-tuition model. Several families contributed a portion of what they previously paid in tuition ($385 for grades K-2 and grades 7-10; $485 for grades 3-6) to the Religious School Education Fund to ensure our ability to continue this model well into the future. 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! *REGISTRATION IS NOW OPEN!* REGISTER FOR 2025-26 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 Executive Director Michael Yudelson by email or by calling (585) 244-7060 to find out more about our Give to Your Heart's Content (GTYHC) voluntary commitment model. 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 Cell Phone Parent #2 Email Parent #2 Home 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 Please choose one option below:MaleFemaleNon-Binary/Other Date of birth Grade in Fall 2025 Hebrew name (English transliteration) OR Hebrew Name (using Hebrew keyboard) T-shirt size Please choose a size below:Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large 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? Please choose one option below: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. 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. Permission for Medical Treatment, Photos, Field Trips 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). I also authorize my child to attend and participate in field trips sponsored by Temple B'rith Kodesh during the 2025-2026 school year. Transportation will be provided by chartered bus, and all trips will be supervised by TBK staff and approved volunteers. I acknowledge that I will receive details about each trip in advance. I agree to hold harmless Temple B'rith Kodesh, its staff and volunteers, from liability for any ordinary risks associated with these activities. 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). I also authorize my child to attend and participate in field trips sponsored by Temple B'rith Kodesh during the 2025-2026 school year. Transportation will be provided by chartered bus, and all trips will be supervised by TBK staff and approved volunteers. I acknowledge that I will receive details about each trip in advance. I agree to hold harmless Temple B'rith Kodesh, its staff and volunteers, from liability for any ordinary risks associated with these activities. 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 Please choose one option below:MaleFemaleNon-Binary/Other Date of birth Grade in Fall 2025 Hebrew name (English transliteration) OR Hebrew Name (using Hebrew keyboard) T-shirt size Please choose a size below:Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large 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? Please choose one option below: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. 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. Permission for Medical Treatment, Photos, Field Trips 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). I also authorize my child to attend and participate in field trips sponsored by Temple B'rith Kodesh during the 2025-2026 school year. Transportation will be provided by chartered bus, and all trips will be supervised by TBK staff and approved volunteers. I acknowledge that I will receive details about each trip in advance. I agree to hold harmless Temple B'rith Kodesh, its staff and volunteers, from liability for any ordinary risks associated with these activities. 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). I also authorize my child to attend and participate in field trips sponsored by Temple B'rith Kodesh during the 2025-2026 school year. Transportation will be provided by chartered bus, and all trips will be supervised by TBK staff and approved volunteers. I acknowledge that I will receive details about each trip in advance. I agree to hold harmless Temple B'rith Kodesh, its staff and volunteers, from liability for any ordinary risks associated with these activities. 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 Please choose one option below:MaleFemaleNon-Binary/Other Date of birth Grade in Fall 2025 Hebrew name (English transliteration) OR Hebrew Name (using Hebrew keyboard) T-shirt size Please choose a size below:Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-Large 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? Please choose one option below: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. 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. Permission for Medical Treatment, Photos, Field Trips 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). I also authorize my child to attend and participate in field trips sponsored by Temple B'rith Kodesh during the 2025-2026 school year. Transportation will be provided by chartered bus, and all trips will be supervised by TBK staff and approved volunteers. I acknowledge that I will receive details about each trip in advance. I agree to hold harmless Temple B'rith Kodesh, its staff and volunteers, from liability for any ordinary risks associated with these activities. 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). I also authorize my child to attend and participate in field trips sponsored by Temple B'rith Kodesh during the 2025-2026 school year. Transportation will be provided by chartered bus, and all trips will be supervised by TBK staff and approved volunteers. I acknowledge that I will receive details about each trip in advance. I agree to hold harmless Temple B'rith Kodesh, its staff and volunteers, from liability for any ordinary risks associated with these activities. From Rabbi Tulik: The registration fee of $50 per student supports our planning and processing costs. Thank you! Based on the commitments of financial support from a generous group of donors, there is funding to support this initiative for now, with the goal of identifying continuing support from congregants and community members that will allow this to continue beyond that time. Towards that goal, several parents have contributed a portion of what they previously paid in tuition ($385 for grades K-2 and grades 7-10; $485 for grades 3-6) 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 TBKPlease add to my account and include on next statementPlease contact me to set up new credit card information If you are paying by credit card, please consider adding 3% to your commitment payments to cover TBK's credit card fee. Type "Yes" in the box below to do that, thank you!

Religious School Registration 2024-25

Religious School Enrollment 2025-26

TEMPLE B'RITH KODESH