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2018-19 Religious School Registration

Temple Israel Religious School Registration

Please note: With the exception of Kindergarten registration and families of Congregation Agudas Achim, it is Temple Israel's policy that you must be a member of the synagogue to enroll your child(ren) in Religious School.  If you are a non-member and would like to enroll your child in a grade other than Kindergarten, please contact our Executive Director, Jennah Scher, to discuss membership.

FAMILY INFORMATION

STUDENT INFORMATION

Hebrew School is held from 4-6 PM on Tuesdays at Agudas Achim and CJDS.

STUDENT 2 INFORMATION

Hebrew School is held from 4-6 PM on Tuesdays at Agudas Achim and CJDS.

EMERGENCY CONTACT INFO

Please list relationship to child(ren) next to adult's name.

PERMISSIONS/WAIVER OF LIABILITY

I/We, the undersigned parent(s) of the minor(s) listed below, do hereby consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital service that may be rendered to said minor(s) under the general or special instructions of our physician or other physician called in any emergency by the Director of Education, Rabbi, or responsible adult in the event I/we cannot be reached; whether such diagnosis or treatment is rendered at the office of said physician or at a licensed hospital. It is understood that conscientious effort will be made to notify me or my spouse before such action is taken; but, the is is not possible, the expense of this service will be accepted by me. It is understood that this consent is given in advance of any specific diagnosis or treatment being required. This consent shall remain effective until revoked.

PARENT PERMISSION

ATTENDANCE: The undersigned parent and/or legal guardian of the above named child(ren) hereby gives permission for my child(ren) to attend all Religious, Hebrew School, or Youth Group programming operated by Temple Israel Religious School for the period of July 1, 2018 through June 30, 2019.

MEDICAL TREATMENT: I hereby grand permission to Temple Israel Religious School to render and obtain medical treatment for my child if the Religious School personnel, in their discretion, deem it necessary.

WAIVER OF LIABILITY

I understand that my child will be attending activities at or arranged by Temple Israel Religious School or the Youth Program, including activities away from the Religious School facilities. I hereby release and agree to indemnify Temple Israel Religious School, its employees, officers, agents and trustees from any and all liability, claims, actions, or causes of action, damages, and/or fines arising from my child's participation in Religious School programming, field trips or events.

DRIVING PERMISSION

I hereby give permission for my child, in accordance with the authorizations contained herein, to attend any field trips with Temple Israel Religious School or Youth Group. I understand that I must sign an individual authorization for each such field trip to allow my child to attend.

I authorize and grant my permission of rmy child to ride in an automobile or licensed bus driven by Temple Israel Religious School staff, educators or chaperones.

PHOTO/MEDIA RELEASE

Do you grant permission for Temple Israel Religious School to utilize artwork, photographs, or any other visual representation of your child(ren) in connection with any Religious School brochure, video, website, promotion, advertising or another media?

We appreciate our teachers!  This fund will allow us to provide a breakfast or lunch for our teachers during the school year.

You must have a credit card on file to set up a payment plan.

Sat, December 15 2018 7 Tevet 5779