Union for Reform Judaism Member Congregation

Forms

Register for Religious School 2017-2018

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Parent 1 Information

Families of 4th-7th grades must join Temple.

Parent 2 Information

Parent Volunteer Form

Jewish education is a partnership between the families and the synagogue. Both are vital components in a successful program. Throughout the Religious School year we rely on parents for a variety of things, including helping in the classrooms, at special events, and sharing your skills and talents.
 
 

Skill/Talent
I have a skill or talent that I would be happy to share with the Religious School. For example: Have you recently visited Israel and would be willing to talk to your child’s class? Do you play a musical instrument? Do you love to cook and would be happy to assist a teacher in a cooking project? Are you an artist?

Include name of parent/s.
 

Student 1

Children Information

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*If child needs to leave early a parent must come into the school to pick them up.
Please provide a copy of the immunization record for each of your children. If your child has not been immunized, please provide a doctor’s note.
I/We the parent(s) of minor(s) by typing our name above 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 under the general or special treatment service that may be rendered to said minor under the general or special instructions of our physician or other physician called in any emergency by the Director of Youth and Family Engagement, 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, if this 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.
Please specify or enter N/A
Please include Name, Medical Insurance Company and Policy Number
Please enter name and best phone number of parent/s & guardian/s to call in case of emergency.
Name/s, relationship and phone numbers.

Parent Release Forms

On occasion photographs or videos of the students are taken at school. I give Union Temple consent to use these photographs in our bulletin or our website.
 
I give my child permission to accompany his/her Union Temple Religious School class on neighborhood walks and trips to the park and Botanic Garden.
 
Please check off which information you would like published in the Religious School Directory. This directory will only be shared with Religious School families and Union Temple staff.

Tuition

PAYMENT PLANS
Choose in "Payment Options"
Plan A: 100% tuition and safety/security fee with registration.

Plan B: $100 non-refundable deposit plus $250 annual safety/security fee due with Registration
25% by 9/24/2017
25% by 11/5/2017
Balance of tuition by December 12/15/2017
Religious School families who are Union Temple members or will become members pay the safety/security fee only once with their first quarterly membership dues.

10% reduction per additional sibling. $250 safety/security fee per family (Non-Refundable, if member included in membership dues).

Additional Students

Please click on the "Add 2nd Student" button above if you have more children to register.
IF YOU ARE REGISTERING MORE THAN ONE STUDENT, PLEASE SELECT UNDER "CHOOSE PAYMENT" AT THE BOTTOM OF THIS FORM, THE OPTION "PAY BY CASH OR CHECK LATER". WE WILL CONTACT YOU TO GIVE YOU THE DISCOUNTED RATE WHICH YOU WILL ALSO BE ABLE TO PAY ONLINE.

GradeMembers
(Early Bird until 6/1/17)
Members
(After 6/1/17)
Non Members
(Early Bird 6/1/2017)
Non Member
(After 6/1/17)
* Parents & students must join Temple.

Union Temple Preschool graduates get free Pre-K Religious School tuition
Pre-K-3rd Grade$500

$600

$700$800
4th-7th Grade *$800*$900*

2017-2018 Payment Agreement

Union Temple of Brooklyn Religious School
I agree to pay Union Temple tuition as specified in the enrollment agreement. I understand that if I wish to withdraw my child from the program for any reason, I must give notice in writing to the Director of Youth and Family Engagement. I understand that if I withdraw my child prior to November 15 I will receive a full refund less the $100 non-refundable deposit and $250 non-refundable safety/security fee. I understand that after February 1st no refunds will be given. If I withdraw my child between November 15th and February 1st I understand that my refund will be prorated based on the number of days my child was in school. Documented extenuating circumstances will be considered on a case-by-case basis.
To help cover the PayPal processing fees.
$0