Religious School 2024-25 Registration

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Temple Sholom Religious School Registration for 2024-2025
Pre K to Eighth Grade

Opening Day - September 15, 2024
Closing Day - May 4, 2025

Tuition Cost for Members & Non-Members:
One Child: $500
Two Children: $900
Three Children: $1,300
Please reach out to Temple Sholom if you are registering three or more children at 513.791.1330
Scholarship Options Available

**Students who are new to the Temple Sholom Religious school are eligible for a two week trial free of cost before committing to a full year of tuition.**

If you have any questions or need assistance please reach out to Temple Sholom at 513.791.1330

Registration Form For Temple Sholom Religious School
PreK - 8th Grade

* How many children are you registering for Religious School?

Please Select OneOneTwoThreeIf you are registering more than 3 children, please call the Temple Office at 513-791-1330

Parent/Guardian Information:

Parent 1

* Parent/Guardian 1: First Name

* Parent/Guardian 1: Last Name

* Relationship of Parent/Guardian 1 to child(ren):

* Street Address of Parent/Guardian 1

* Email address for Parent/Guardian 1:

* Cell phone for Parent/Guardian 1:

Parent 2

Parent/Guardian 2: First Name

Parent/Guardian 2: Last Name

Relationship of Parent/Guardian 2 to child:

Street Address of Parent/Guardian 2

Email address for Parent/Guardian 2:

Cell phone for Parent/Guardian 2:

Information for Child 1

* First Name - Child 1

* Last Name - Child 1

* Date of Birth- Child 1

Please enter Hebrew name of 'Child 1'(if known):

Information for Child 2

First Name - Child 2

Last Name- Child 2

Date of Birth - Child 2

Please enter Hebrew name of 'Child 2' (if known):

Information for Child 3

First Name - Child 3

Last Name - Child 3

Date of Birth - Child 3

Please enter Hebrew name of 'Child 3' (if known)

Hebrew Options for 24-25 School Year

Kindergarten to Third grade and/or Beginning Hebrew Students
This brand new cohort will be a parent/student group taught by new Religious School Director, Samara Katz. This Hebrew group will meet for one hour on Sundays after school. Students must have an adult counterpart willing to attend and learn with the student AND the adult counterpart should be the same adult for most classes.

Cost: For the first year of this pilot program, cost will be included in Religious School tuition.

Fourth grade and up and/or advanced Hebrew Students
Jewish Online Learning is a Hebrew program that matches students with real Hebrew teachers via zoom. Together teachers and students go though an individualized curriculum based on the student's current Hebrew knowledge. Scheduling is based on student and teacher schedules. Students new to this program must pass a Hebrew placement test before enrolling.

Cost: Returning Jewish Online Learning Students $300

New Jewish Online Learning Students $400

The cost is normally $1,485.00 per student. $55 for each 30 min Hebrew Lesson, set by Jewish Online Learning.

You will be billed separately for Hebrew Learning

* Hebrew Learning Option for Child 1

Please select an option from the dropdown menu.

Billing for Hebrew will be separate.

Hebrew Learning Option for Child 2

Billing for Hebrew will be separate.

Hebrew Learning Option for Child 3

Billing for Hebrew will be separate.

Consent for Emergency Medical Treatment of 'Child 1'

* Emergency Treatment Consent

Yes, I give my consent for emergency medical treatment of my child as outlined belowNO, I do NOT give my consent for emergency medical treatment of my child.

IF REASONABLE ATTEMPTS TO REACH ME FAIL, I HEREBY GIVE MY CONSENT FOR:
1. The administration of any treatment deemed necessary by the medical professionals I have listed as my child(ren)'s physician in the "emergency contacts" section of this enrollment form.
2. If my designated medical professional is not available, by another medical professional; and
3. The transfer of my child(ren) to any hospital reasonably accessible.

* Parent/Legal Guardian Name:

Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment.

Additional Information about 'Child 1'

* What secular school is 'Child 1' enrolled in?

* Does 'Child 1' have an IEP, 504 Plan, or other academic plan in place in their secular school?

Please Select OneYesNo

If yes, please provide a brief overview about 'Child 1' IEP/504 Plan

The Religious School Director will reach out to you to learn more and create a plan to meet your child's needs.

Please Provide anything we need to know or be sensitive to concerning the emotional or behavioral well-being of 'Child 1' ?

The Religious School Director will reach out to you to learn more and create a plan to meet your child's needs.

* Does 'Child 1' have any food allergies or any other health concerns that could affect them at Religious School?

Please Select OneYesNo

If yes, please provide specific information about 'Child 1' allergies or conditions:

If your child has a food allergy, we require that an unopened EpiPen pack along with instructions and contact phone numbers be provided to the Temple Sholom office in a plastic zip-lock bag.

If there is a chance that your child will need medication, such as an inhaler for asthma, during school hours, please provide the Temple Sholom office with an unopened package of the medication, instructions and contact phone numbers in a plastic zip-lock bag.

Would you like to share any other information that will help us create a safe, effective, and meaningful educational experience for 'Child 1'?

Emergency Contact Information of Child 1:

Name of 'Child 1' Primary Physician

Phone number of 'Child 1' Primary Physician

* Emergency Contact of 'Child 1'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

* Emergency Contact to 'Child 1'

For example: Aunt, Uncle, Cousin, or friend

* Emergency Contact Phone Number

Consent for Emergency Medical Treatment for 'Child 2'

Emergency Treatment Consent

Yes, I give my consent for emergency medical treatment of my child as outlined belowNO, I do NOT give my consent for emergency medical treatment of my child.

IF REASONABLE ATTEMPTS TO REACH ME FAIL, I HEREBY GIVE MY CONSENT FOR:
1. The administration of any treatment deemed necessary by the medical professionals I have listed as my child's physician in the "emergency contacts" section of this enrollment form.
2. If my designated medical professional is not available, by another medical professional; and
3. The transfer of my child to any hospital reasonably accessible.

Parent/Legal Guardian Name:

Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment for 'Child 2'.

Additional Information about Child 2

What secular school is 'Child 2' enrolled in

Does 'Child 2' have an IEP, 504 Plan, or other academic plan in place in their secular school?

YesNo

If yes, please provide a brief overview about the IEP/504 of 'Child 2' and the Religious School Director will reach out to you.

Please provide anything we need to know or be sensitive to concerning the emotional or behavioral well being of 'Child 2'.

The Religious School Director will reach out to you to learn more and create a plan to meet your child's needs.

Does 'Child 2' have any food allergies or any other health concerns that could affect them at Religious School?

YesNo

If yes, please provide specific information about 'Child 2' allergies and conditions:

If your child has a food allergy, we require that an unopened EpiPen pack along with instructions and contact phone numbers to be provided to the Temple Sholom office in a plastic zip-lock bag.

If there is a chance that your child will need medication, such as an inhaler for asthma, during school hours, please provide the Temple Sholom office with an unopened package of the medication, instructions and contact phone numbers in a plastic zip-lock bag.

Would you like to share any other information that will help us create a safe, effective, and meaningful educational experience for 'Child 2' ?

Is ALL of the Emergency Contact information for 'Child 2" the same as 'Child 1'?

YesNoThis includes: Primary Physician and a non-parent/guardian emergency contacts.

Emergency Contact Information for the Child 2:

Name of 'Child 2' Primary Physician

Phone number of 'Child 2' Primary Physician

Emergency Contact of 'Child 2'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship to Emergency Contact of 'Child 2'

For example: Aunt, Uncle, Cousin, or friend

Emergency Contact Phone Number

Consent for Emergency Medical Treatment of Child 3

Emergency Treatment Consent

Yes, I give my consent for emergency medical treatment of my child as outlined belowNo, I do NOT give my consent for emergency medical treatment of my child.

IF REASONABLE ATTEMPTS TO REACH ME FAIL, I HEREBY GIVE MY CONSENT FOR:
1. The administration of any treatment deemed necessary by the medical professionals I have listed as my child's physician in the "emergency contacts" section of this enrollment form.
2. If my designated medical professional is not available, by another medical professional; and
3. The transfer of my child to any hospital reasonably accessible.

Parent/Legal Guardian Name:

Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment for the 3rd child.

Additional Information about Child 3

What secular school is 'Child 3' enrolled in

Does 'Child 3' have an IEP, 504 Plan, or other academic plan in place in their secular school?

YesNo

If yes, please provide a brief overview about 'Child 3' and the Religious School Director will reach out to you.

Please provide anything we need to know or be sensitive to concerning the emotional or behavioral well being of 'Child 3'.

Does your 'Child 3' have food allergies or any other health concerns that could affect them at Religious School?

YesNo

If yes, please provide specific information about 'Child 3' health concerns.

Please share any other information that will help us create a safe, effective, and meaningful educational experience for 'Child 3':

* Is ALL of the Emergency Contact information for the 'Child 3' the same as for Child 1 and/or Child 2?

Please Select OneYesNoOnly choose "Yes" if ALL of the information including Primary Physician and Emergency Contacts are exactly the same.

Emergency Contact Information for the Child 3:

Name of 'Child 3' Physician

Phone number of 'Child 3' Physician

Emergency Contact of 'Child 3'

Please enter the name of an emergency contact who is not a Parent/Guardian of the child.

Relationship to Emergency Contact of 'Child 3'

For example: Aunt, Uncle, Cousin, or friend

Emergency Contact Phone Number

Temple Sholom Use of Images in the Media:

Temple Sholom, its employees, or agents have the right to take photographs, videotape, or digital recordings ("Images") of me or my child(ren) and to use these in any and all media exclusively for the purpose of communicating the educational activities of the Temple. I do hereby release to Temple Sholom, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately. I waive any rights, claims, or interest I may have to control the use of my image in whatever media used. Child(ren) last names will not be used with media images.

* Use of Images in Media

Please Select OneYes, I do hereby consent and agree with the use of images in media statement and allow the use of images of myself or my child(ren) in the media.No, I do not consent to the use of images of myself or my child(ren) in the media.

Total Tuition for all children

The following children have been signed up for Hebrew School

Child 1 - Beginning Hebrew

Child 1 - Advanced Online Hebrew (Returning Student)

Child 1 - Beginning Hebrew

Child 1 - Advanced Hebrew (New Student)

Child 2 - Beginning Hebrew

Child 2 - Advanced Hebrew (Returning Student)

Child 2 - Advanced Hebrew (New Student)

Child 3 - Beginning Hebrew

Child 3 - Advanced Hebrew (Returning Student)

Child 3 - Advanced Hebrew (New Student)

Total includes cost of selected Hebrew Learning, but will be billed separately.

Total

Tuition Cost:
One Child: $500
Two Children: $900
Three Children: $1,300
**Scholarships are Available**

Advanced Online Hebrew School
Returning $300 per Child
New $400 per Child

**Students who are new to the Temple Sholom Religious school are eligible for a two week trial free of cost before committing to a full year of tuition.**

(If registering more than three kids please reach out to us at 513-791-1330)

I will pay my tuition as follows:

I will pay by credit card - please charge the card linked to my ShulCloud AccountI will pay by credit card - I will call the office (513.791.1330) to provide the card informationl will pay by check - I will send my check to the Temple OfficePlease charge my ShulCloud accountMy family would benefit from a scholarship(New Families Only) I would like to sign up for the two week trial

Please note that finances will never stand in the way of your child's Religious Education at Temple Sholom. If you would benefit from or would like to discuss a scholarship, please let us know by checking the Scholarship option above and someone from our office will be in touch.

For any other questions or assistance, please call our office at 513.791.1330.

Thank you!

Thu, March 13 2025
13 Adar 5785

Thu, March 13 2025 13 Adar 5785

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