PreK-5 Religious School Enrollment 2023-2024

We strive to provide a program that works best for each individual student. The information you provide here will help us best support your student in our learning community. Please see your email for more details regarding curriculum, calendar, and program information. For more information contact Heidi Baker.

* Child First Name

* Child Last Name

* Child's Hebrew Name

* Child Date of Birth

* With whom does your child(ren) reside?

* Grade as of September 2023

In case of emergency and parents can't be reached, please notify the following person:

* Emergency Contact Name

* Relationship to Child

* Emergency Contact Phone Number

Please provide the best number to reach your emergency contact.

Kindergarten – Grade 2
Sundays 9:30-11:00 a.m..

Grades 3 - 5
Wednesdays 3:30 - 5:30 p.m. AND Sundays 9:30-11:00 a.m.

While the bulk of our K-5 program is in person classes on Sundays and Wednesdays, we do have alternative online tutoring as needed.

* Enrollment Selection

Is your child interested in Shir Joy, our children's choir, for grades 1-6?

Shir Joy meets on select Sundays until 11:45 a.m. and is led by Emma Rehfeld

Early Drop Off Option:
12:30-2:30 Lunch and creative activities led by Kate Shoolman. Requires full year enrollment and has an additional fee associated.
2:30-3:30 Hebrew Enrichment. Free of charge. Sign up is required in the week ahead. All early drop off students will automatically participate.

* Will your child participate in the early drop off option?

It is extremely important that you provide us with the following information for your child in order that we may best meet his or her individual needs. For any questions that are not applicable for your child, please write in “none".

* How would you describe your child? What would you like us to know about them?

* Are there any medical issues about which we should be aware (i.e. allergies, activity restrictions or any other medical issues)?

* Does your child require an Epi-Pen? If so, please note Epi-pens are required to be left at Temple Beth Avodah.

* Does your child take any medications on an ongoing or regular basis?

If your child take any medications on an ongoing or regular basis, please list each medication below. If this is not applicable to your child, please write in "none" Please list the reason for the medication and any side effects we should be aware of.

* Does your child have any specific learning style challenges? If your child has an IEP or specialized Learning Plan at school, please make a note of it and we will follow up. It is imperative that we have this information to help your child have a successful experience at TBA. All information we receive will be kept confidential. If this question is not applicable to your child, please write in "none".

* Are there any social/emotional matters TBA Religious School should know about to help make your child's experience in our Religious School successful? If this question is not applicable to your child, please write in "none".

* I give permission for my child(ren) to be photographed for publicity and/or participation in an organized fundraising activity at any time and without prior notification from Temple Beth Avodah Religious School?

* By typing my name below I hereby constitute that this is my electronic signature for legal purposes.

* Today's Date

* This email address will receive a confirmation email.

Mon, September 25 2023 10 Tishrei 5784