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Religious School & Youth Group 2024-25
Please verify reCaptcha before submitting the form.
PLEASE LOG IN TO YOUR ACCOUNT BEFORE YOU BEGIN
GUARDIAN INFORMATION
GUARDIAN #1
*
Guardian #1 First Name
Guardian #1 Last Name
*
Local Address
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Guardian #1 Email
Guardian #1 Cell Phone
*
I (Guardian #1) give permission to receive messages and alerts via text to this designated cell phone.
Yes
No
Is there a second guardian?
No, there is no second guardian
Yes, I would like to add a second guardian
GUARDIAN #2
Guardian #2 First Name
Guardian #2 Last Name
Guardian #2 Cell Phone
I (Guardian #2) give permission to receive messages and alerts via text to this designated cell phone.
Yes
No
Does Guardian #2 have a different address?
No, same address
Yes, I need to enter an additional address.
Street Address
City
State
Zip
STUDENT INFORMATION
STUDENT #1
*
Student's First Name
Nickname
*
Student's Last Name
*
Student's Hebrew Name
Student's Preferred Prounouns
Student's Date of Birth
Student's Cell (If Available)
*
I, student, give permission to receive messages and alerts via text to this phone.
Please Select One
Yes
No
Please share with us any important information that will help us provide a safe and caring learning/social environment for your child.
Does your child have any ALLERGIES? (PLEASE LIST ALL ALLERGIES)
Permission to photograph/video your child and use (without names) for promotional purposes?
Yes
No
RELIGIOUS SCHOOL OPTIONS
Grade as of Fall 2024
Please Select
K
1
2
3
4
5
6
7
8
9-12
School Attending
*
K - 2nd Grade: Judaics Only Sundays 9:30AM - 12PM $630
K - 2nd Grade: Judaics Only Sundays 9:30AM - 12PM $630
Students enrolling in Religious School should select
one class option from each section below (Judaica and Hebrew)
*
KULAM FOR HIGH SCHOOL STUDENTS (Tuition & USY Dues) – $620
KULAM FOR HIGH SCHOOL STUDENTS (Tuition & USY Dues) – $620
Kulam
(meaning “Everyone”) is a curriculum provided by
Moving Traditions
that promotes
shleimut
(individual wellbeing),
c
hesed
(connection), and
tzedek
(just action) for Jewish high school students. Each session features dialogue prompts, games, Jewish texts, and other activities that focus on a specific area of social-emotional learning that resonates with teens and helps them learn to relate to and communicate with one another.
Kulam
equips Jewish teens to engage in dynamic and authentic relationships to think reflectively, act courageously, and develop healthy and caring communities.
Kulam
will meet monthly after Shabbat services for Lunch & Learn with Rabbi Baum and our facilitator.
JUDAICA LEARNING OPTIONS
Judaic Learning - $1,496
Judaic Learning - $1,496
Sunday 9:30AM-12PM and Tuesdays 5:00-6:30PM
*
Judaic Learning - $1,540
Judaic Learning - $1,540
Sunday 9:30AM-12PM and Tuesdays 5:00-6:30PM
*
Judaic Learning - $620
Judaic Learning - $620
7
th
and 8
th
Graders will participate in 3 new programs this year:
Tzedek America’s
Mitzvah Project Central, From March to Miriam, and
Moving Tradition’s
B-Mitzvah Family Education.
HEBREW LEARNING OPTIONS
Hebrew Learning Options
Hebrew in a GROUP Setting IN-PERSON (Times TBD)
Hebrew in a *PRIVATE Setting IN-PERSON (Times TBD) *Additional fee of $600
Hebrew in a *PRIVATE Setting on ZOOM (Times TBD) *Additional fee of $600
*
I acknowledge that $80 of my tuition will be allocated to the Safety and Security Fee
I acknowledge that $80 of my tuition will be allocated to the Safety and Security Fee
*
I acknowledge that $160 of my tuition will be allocated to the Safety and Security Fee
I acknowledge that $160 of my tuition will be allocated to the Safety and Security Fee
*
I acknowledge that $136 of my tuition will be allocated to youth group dues
I acknowledge that $136 of my tuition will be allocated to youth group dues
*
I acknowledge that $180 of my tuition will be allocated to youth group dues
I acknowledge that $180 of my tuition will be allocated to youth group dues
*
I acknowledge that $180 of my tuition will be allocated to youth group dues
I acknowledge that $180 of my tuition will be allocated to youth group dues
Madrikhim (Teaching Assistant) Program
Madrikhim (Teaching Assistant) Program
MADRIKHIM
/Teaching Assistants
. Students will earn one community service hour for each hour working with younger classes during Religious School on Sundays and/or Tuesdays. If you choose this program, you must also register for the Religious School program for your grade level.
ADDITIONAL STUDENTS
Would you like to register a second student?
No, I'm finished
Yes I want to register a second student
STUDENT #2
Student #2 First Name
Student #2 Nickname
Student #2 Last Name
Student #2 Hebrew Name
Student #2 Preferred Pronouns
Student #2 Date of Birth
Student's Cell (If Available)
*
I, student, give permission to receive messages and alerts via text to this phone.
Please Select One
Yes
No
Please share with us any other important information that will help us provide a safe and caring learning/social environment for your child.
Does your child have any ALLERGIES? (PLEASE LIST ALL ALLERGIES)
Permission to photograph/video your child and use (without names) for promotional purposes?
Yes
No
STUDENT 2 - RELIGIOUS SCHOOL OPTIONS
*
Grade as of Fall 2024
Please Select One
K
1
2
3
4
5
6
7
8
9-12
Student #2 School Attending
*
K - 2nd Grade: Judaics Only Sundays 9:30AM - 12PM $620
K - 2nd Grade: Judaics Only Sundays 9:30AM - 12PM $620
Students enrolling in Religious School should select
one class option from each section below (Judaica and Hebrew)
JUDAICA LEARNING OPTIONS
Judaic Learning - $1,476
Judaic Learning - $1,476
Sunday 9:30AM-12PM and Tuesdays 5:00-6:30PM
Judaica Learning - $1,540
Judaica Learning - $1,540
Sunday 9:30AM-12PM and Tuesdays 5:00-6:30PM
Judaica Learning - $620
Judaica Learning - $620
7
th
and 8
th
Graders will participate in 3 new programs this year:
Tzedek America’s
Mitzvah Project Central, From March to Miriam, and
Moving Tradition’s
B-Mitzvah Family Education.
HEBREW LEARNING OPTIONS
Hebrew Learning Options
Hebrew in a GROUP Setting IN-PERSON (Times TBD)
Hebrew in a *PRIVATE Setting IN-PERSON (Times TBD) *Additional fee of $600
Hebrew in a *PRIVATE Setting on ZOOM (Times TBD) *Additional fee of $600
KULAM FOR HIGH SCHOOL STUDENTS (Tuition & USY Dues) – $620
KULAM FOR HIGH SCHOOL STUDENTS (Tuition & USY Dues) – $620
This year teens will work towards Confirmation with Rabbi Baum. The class will meet monthly on Shabbat morning with a Teen Lunch & Learn. More information will be sent to those who enroll.
Kulam
(meaning “Everyone”) is a curriculum provided by
Moving Traditions
that promotes
shleimut
(individual wellbeing),
c
hesed
(connection), and
tzedek
(just action) for Jewish high school students. Each session features dialogue prompts, games, Jewish texts, and other activities that focus on a specific area of social-emotional learning that resonates with teens and helps them learn to relate to and communicate with one another.
Kulam
equips Jewish teens to engage in dynamic and authentic relationships to think reflectively, act courageously, and develop healthy and caring communities.
Kulam
will meet monthly after Shabbat services for Lunch & Learn with Rabbi Baum and our facilitator.
*
I acknowledge that $160 of my tuition will be allocated to the Safety and Security Fee
I acknowledge that $160 of my tuition will be allocated to the Safety and Security Fee
*
I acknowledge that $80 of my tuition will be allocated to the Safety and Security Fee
I acknowledge that $80 of my tuition will be allocated to the Safety and Security Fee
*
I acknowledge that $136 of my tuition will be allocated to youth group dues
I acknowledge that $136 of my tuition will be allocated to youth group dues
*
I acknowledge that $180 of my tuition will be allocated to youth group dues
I acknowledge that $180 of my tuition will be allocated to youth group dues
*
I acknowledge that $180 of my tuition will be allocated to youth group dues
I acknowledge that $180 of my tuition will be allocated to youth group dues
Madrikhim (Teaching Assistant) Program
Madrikhim (Teaching Assistant) Program
MADRIKHIM
/Teaching Assistants
. Students will earn one community service hour for each hour working with younger classes during Religious School on Sundays and/or Tuesdays. If you choose this program, you must also register for the Religious School program for your grade level.
Would you like to register a third student?
No, I'm finished
Yes I want to register a third student
STUDENT #3
Student #3 First Name
Student #3 Nick Name
Student #3 Last Name
Student #3 Hebrew Name
Student #3 Preferred Pronouns
Student #3 Date of Birth
Student's Cell (If Available)
*
I, student, give permission to receive messages and alerts via text to this phone.
Please Select One
Yes
No
Please share with us any other important information that will help us provide a safe and caring learning/social environment for your child.
Does your child have any ALLERGIES? (PLEASE LIST ALL ALLERGIES)
Permission to photograph/video your child and use (without names) for promotional purposes?
Yes
No
STUDENT 3 - RELIGIOUS SCHOOL OPTIONS
Please select a grade to see options
Grade as of Fall 2024
Please Select One
K
1
2
3
4
5
6
7
8
9-12
Student #3 School Attending
*
K - 2nd Grade: Judaics Only Sundays 9:30AM - 12PM $620
K - 2nd Grade: Judaics Only Sundays 9:30AM - 12PM $620
Students enrolling in Religious School should select
one class option from each section below (Judaica and Hebrew)
JUDAICA LEARNING OPTIONS
Judaic Learning - $1,476
Judaic Learning - $1,476
Sunday 9:30AM-12PM and Tuesdays 5:00-6:30PM
Judaica Learning - $1,520
Judaica Learning - $1,520
Sunday 9:30AM-12PM and Tuesdays 5:00-6:30PM
Judaica Learning - $620
Judaica Learning - $620
7
th
and 8
th
Graders will participate in 3 new programs this year:
Tzedek America’s
Mitzvah Project Central, From March to Miriam, and
Moving Tradition’s
B-Mitzvah Family Education.
HEBREW LEARNING OPTIONS
Hebrew Learning Options
Hebrew in a GROUP Setting IN-PERSON (Times TBD)
Hebrew in a *PRIVATE Setting IN-PERSON (Times TBD) *Additional fee of $600
Hebrew in a *PRIVATE Setting on ZOOM (Times TBD) *Additional fee of $600
KULAM FOR HIGH SCHOOL STUDENTS (Tuition & USY Dues) – $620
KULAM FOR HIGH SCHOOL STUDENTS (Tuition & USY Dues) – $620
Kulam
(meaning “Everyone”) is a curriculum provided by
Moving Traditions
that promotes
shleimut
(individual wellbeing),
c
hesed
(connection), and
tzedek
(just action) for Jewish high school students. Each session features dialogue prompts, games, Jewish texts, and other activities that focus on a specific area of social-emotional learning that resonates with teens and helps them learn to relate to and communicate with one another.
Kulam
equips Jewish teens to engage in dynamic and authentic relationships to think reflectively, act courageously, and develop healthy and caring communities.
Kulam
will meet monthly after Shabbat services for Lunch & Learn with Rabbi Baum and our facilitator.
*
I acknowledge that $160 of my tuition will be allocated to the Safety and Security Fee
I acknowledge that $160 of my tuition will be allocated to the Safety and Security Fee
*
I acknowledge that $80 of my tuition will be allocated to the Safety and Security Fee
I acknowledge that $80 of my tuition will be allocated to the Safety and Security Fee
*
I acknowledge that $136 of my tuition will be allocated to youth group dues
I acknowledge that $136 of my tuition will be allocated to youth group dues
*
I acknowledge that $180 of my tuition will be allocated to youth group dues
I acknowledge that $180 of my tuition will be allocated to youth group dues
*
I acknowledge that $180 of my tuition will be allocated to youth group dues
I acknowledge that $180 of my tuition will be allocated to youth group dues
Madrikhim (Teaching Assistant) Program
Madrikhim (Teaching Assistant) Program
MADRIKHIM
/Teaching Assistants
. Students will earn one community service hour for each hour working with younger classes during Religious School on Sundays and/or Tuesdays. If you choose this program, you must also register for the Religious School program for your grade level.
EMERGENCY CONTACT & PICK-UP INFORMATION
In addition to guardians, please list an emergency contact/authorized individual for pick up:
Name:
Phone Number:
Relationship:
Can Pick Up? Y/N
Tuition Total
APPLICATION FOR ENROLLMENT AND LIABILITY RELEASE
I hereby submit registration for my child, as listed above, for the Congregation Shaarei Kodesh (CSK) Religious School Program during the 2024-2025 school year. I understand that session and class placement of my child is left to the discretion of the Director. In the event of an emergency, I give permission for my child to be brought to the nearest medical facility and authorize the representative of Congregation Shaarei Kodesh to select a physician, nurse, paramedic or emergency medical technician licensed by the State of Florida, and/or authorize medical treatment, including hospitalization, anesthesia, injection, surgery or other measures which he/she feels are in the best interest of my child. This form also serves as a release form for any trip on which my child participates during the school year. I also, hereby release and agree to defend, indemnify and hold Congregation Shaarei Kodesh (and its officers, directors, agents, volunteers and employees) harmless from any and all damages, injuries, claims and causes of action arising (directly or indirectly) out of my or my child’s participation on any school-sponsored activity or trip. My child has my permission to participate in all activities of the Education Program for which he/she is registered.
By signing this application, the undersigned agrees to pay the total amount of tuition and fees for the 2024-2025 school year.
Refunds due to withdrawal are not available.
In the event of payment default, CSK reserves the right to cancel the student’s enrollment in school and/or youth groups and the undersigned agrees to pay the expenses of enforcement and collection, including attorney’s fees and costs.
*
I have read and understand the above paragraph and I am submitting my registration.
I have read and understand the above paragraph and I am submitting my registration.
Thu, December 12 2024 11 Kislev 5785
