2023-2024 Religious School Registration - Form

Section A: Family Contact Information

* Name (Primary)

* Email (Primary)

* Phone (Primary)

* Relationship to Student(s) (Primary)

Street Address (Primary)

Please update if address has changed since September 2022

Street Address Line 2 (Primary)

Please update if address has changed since September 2022

City (Primary)

Please update if address has changed since September 2022

ZIP (Primary)

Please update if address has changed since September 2022

* Is there a secondary contact?

Please Select OneNoYes, at the same address as the primary contactYes, but at a different address than the primary contactIf there is a secondary contact, all emails and mailings will go to both contacts. In case of urgent need, the primary contact will be notified first

Name (Secondary)

Email (Secondary)

Phone (Secondary)

Relationship to Student(s) (Secondary)

Street Address (Secondary)

Please update if address has changed since September 2022

Street Address Line 2 (Secondary)

Please update if address has changed since September 2022

City (Secondary)

Please update if address has changed since September 2022

ZIP (Secondary)

Please update if address has changed since September 2022

* Emergency Contact Name

* Emergency Contact Phone

* Emergency Contact Relationship

Section B: Student Enrollment Information

Student 1 Information

* Student 1 Name

* Student 1 Grade

This is the same as your child's grade for the 2023-2024 secular school year unless you have made other arrangements with the religious school director.

* Student 1 Birthdate

Student 1 Grade in Hebrew School (4th-7th grades only)

Hebrew School at Temple Beth Israel begins in 4th Grade. Enrollment in both Religious School and Hebrew School are required for Bnai Mitzvah at TBI.

Student 1 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 1 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 1 Special Learning Needs

Please Select OneNoYes (IEP or 504)If yes, Susanna would love to sit down with you and your child’s teacher before the school year begins so that we are able to discuss the best ways to support your child from the outset. If you are comfortable we invite you to send any documentation ahead of time to susannag@tbifresno.org

* Student 1 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 1 Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

Student 2 Information

Student 2 Name

Student 2 Grade in Religious School

This is the same as your child's grade for the 2023-2024 secular school year unless you have made other arrangements with the religious school office.

Student 2 Birthdate

Student 2 Grade in Hebrew School (4th-7th grades only)

Hebrew School at Temple Beth Israel begins in 4th Grade. Enrollment in both Religious School and Hebrew School are required for Bnai Mitzvah at TBI.

Student 2 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 2 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

Student 2 Special Learning Needs

Student 2 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 2 Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

Student 3 Information

Student 3 Name

Student 3 Grade in Religious School

This is the same as your child's grade for the 2023-2024 secular school year unless you have made other arrangements with the religious school office.

Student 3 Birthdate

Student 3 Grade in Hebrew School (4th-7th grades only)

Hebrew School at Temple Beth Israel begins in 4th Grade. Enrollment in both Religious School and Hebrew School are required for Bnai Mitzvah at TBI.

Student 3 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 3 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

Student 3 Special Learning Needs

Student 3 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 3 Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

Section C: Release Forms

Medical Release
By signing my name, my child(ren) have permission to participate in the religious school of Temple Beth Israel. In consideration of my child(ren)'s acceptance as a religious school student, I hereby waive any and all claims against Temple Beth Israel, its agents and its employees that may arise out of any injury, loss or damage suffered by my child(ren) during any religious school activity. I hereby authorize the Director of Education, or person designated by the Director of Education, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of California. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is(are) in good physical health. They have my permission to participate in all activities that are part of the regular religious school program. Field trips may be arranged by Temple Beth Israel, and transportation may include a vehicle driven by a classmate's parent or guardian.

If you have any issue or concern about this policy please be in touch with Susanna to discuss.

* Medical Release: Enter your name below

By typing my name, I confirm I have read, understand and agree to the medical release.

Learning Commitment

Learning Commitment
At Temple Beth Israel we are committed to Lifelong Jewish learning and aim to provide all students this foundation in childhood. In order to become Bat/Bar Mitzvah at TBI, we expect that students in Kindergarten through 10th grades will attend a meaningful Jewish educational program in order to achieve this goal. Attendance at TBI Religious School once a week through 8th grade, once per month through 10th grade, and Hebrew School once a week from 4th-7th grades fulfills this requirement. If you have any issue or concern about this policy please be in touch with Susanna to discuss.

* Learning Commitment: Enter your name below

By typing my name, I confirm I have read, understand and agree to the lifelong Jewish learning commitment.

Media Release

Media Release
From time to time your child’s photo may be taken in our classrooms or special events. We use these photos in the temple newsletter, on our temple display boards, the temple website as well as private Facebook groups and other publicity and educational materials.

* Media Release Permission

Please select one

BRIT KAVOD: A FAMILY CODE OF CONDUCT FOR TEMPLE BETH ISRAEL RELIGIOUS SCHOOL

* Student Signatures

By typing my name above, I agree that as a student I agree that I will:

Always remember that Temple Beth Israel is a place of worship and learning.
Show respect for the Temple community by respecting the building and everything in and around it. Therefore I will not litter, deface or damage anything that belongs to the Jewish community
Be respectful of everyone who is part of the Temple community:

I will respect my classmates by paying attention when others are speaking, using good language and manners, never hitting or pushing, not taking anything that does not belong to me, and not putting down others.

I will respect my teachers by following the class rules, listening while the teacher is talking, and doing what is required of me in class and at home.

Show respect for myself by always being safety conscious. I will not run, climb, play wildly or throw anything (except balls in designated areas).
I will not treat others in ways in which I do not want to be treated.

* Parent(s) Signature

By typing your name(s) above, I agree that as parents I/we will:

Share responsibility for our child as a student who is learning how to become a part of the Jewish people, by approaching our child’s exploration of our heritage and trying to make meaning of it as a family endeavor and responsibility.
Share responsibility for the other learners and the teachers sharing in our learning experience by helping our child to always be prepared for class, arriving on time and helping him/her to understand what has been learned in class. We will share with the school the responsibility of monitoring our child’s progress.

Section D: Congregational Community

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 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!

Below, you will find parent volunteer opportunities and volunteer requirements. Your participation in school and temple events helps to create the parent-temple partnership necessary to instill a strong Jewish identity.

Any other skills or talents you might be willing to share?

Section E: Payment Information

* Family Fundraising Fee

Family Fundraising Fee

Our Religious School is responsible for annual fundraising. The fundraising fee is a required family obligation. In addition to being a necessary part of the Religious School budget, this year the family fundraising fee will cover:

Two Family Havdallah events, one in the Fall and one in the Spring, to bring our community together, celebrate the beginning of a new week and teach our children about this sometimes forgotten part of Shabbat.
Part of the per-person cost of the Welcome Back Shabbat Dinner in September.

Please save the date for our Welcome Back Shabbat Dinner - September 8th, 2023
We are so excited to bring our school community back together! Please join us for this Shabbat experience. We will begin at 6:00 PM with a traditional Shabbat dinner prepared by Karsh's Catering, and end by participating in the Shabbat service!

Due Today: Registration Deposit

Please enter the number of children that you are registering in Religious School Grades K-10. There is a per student registration deposit that is required at the time of registration.

Due Today: Grades K-8 Per Child Snack Fee

Please enter the number of children in Grades K-8 that you are registering. This covers the daily light snack that TBI provides as well as the many cooking opportunities that we provide. This amount is due at the time of registration.

* Due Today

Due TodayThe total per student registration deposit and snack fees are the minimum amount due with this registration form.

* School Fees

Number of students in grades K-8

Number of students in Hebrew School

Number of students in Teen SchoolPlease enter the number of Religious School (K-8), Hebrew School (4-7 Bnai MItzvah track), and Teen School (9-10) students you are registering

Total Amount Due

These represent your total amount due for all Religious School, Hebrew School, Teen School, fundraising, deposit and snack fees.

* Billing Options

Please choose your preferred billing options

Optional Donation to Religious School Restricted Account

The Religious School Restricted Account is an account funded by optional donations, often made in memory of a loved one or in honor of a simcha or achievement. This account allows us to purchase "big ticket" items that are not covered by the general Religious School fees.

For example, in the last few years we used funds from the Restricted account to upgrade the security of the school building; to purchase a variety of learning platforms to help engage students in online learning. and to upgrade the technology in the school. We also use the funds to give our teachers and volunteers gift cards at the end of each school year.

This year we hope to use the account to install new safety surfacing in the playground and to partially subsidize a field trip to the LA Jewish museums.