Student Information
Student's Full Name (last, first):
Student's Hebrew Name:
Street Address:
City, State, Zip:
Home Phone:
Date of Birth:
Student's Email Address:
Is this your child's first year at Temple Emanuel Religious School?
Yes
No
Can we publish your address and phone number for the class list?
Yes
No
Can we use your child's picture in newsletter articles and publicity?
Yes
No
Some teachers choose to have a class parent. If your child's class does, would you like to volunteer
as a
Class Parent?
Yes
No
Would you like to participate on the Education Advisory Team?
Yes
No
Name of public/private school:
Grade as of September 2011:
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Parent 1 Information
Title:
Mrs.
Mr.
Dr.
Ms.
Name:
Address:
Daytime Phone:
Evening Phone:
Cell Phone:
Email:
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Parent 2 Information
Title:
Mrs.
Mr.
Dr.
Ms.
Name:
Address:
Daytime Phone:
Evening Phone:
Cell Phone:
Email:
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Child lives with:
Mother
Father
Both
Other:
In case of emergency, please contact (other than parent): (please include name, phone number and relation to child)
Doctor's name and phone number:
(please include name, practice, and phone number)
Please respond to the questions below.
All information will remain confidential.
If there are any medical concerns (i.e. allergies, medications,
visual problems, frequent need to use bathroom, nosebleeds,
chronic illness, etc.) of which the school should be aware,
please describe below:
If your child has any learning consideration in reading,
writing,
comprehension, organization, speech/language,
attention, etc.
of which the school should be aware, please describe below:
What special services, if any, does your child receive in secular school or privately? Please send updated special services information.
Does your child have an IEP?
Yes
No
The Religious School office must be notified in writing if there are custody issues and/or there are any persons unauthorized to pick up your child/children (early dismissal only).
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Sunday School: Pre-School Sundays & K to 12th Grade
There are two sessions for Sunday School:
Session I runs from 9:00am-11:00
am.
Session II runs from 10:30am-12:30pm.
Please select from the drop down menu which class and session you wish to
enroll your child in:
Session and Class Requests for Pre-School Sundays through 6th Grade:
Please Select One:
Kindergarten - Session I: 9:00am-11:00am
Kindergarten - Session II: 10:30am-12:30pm
Pre-School Sundays (1morning/month): 9:00am-11:00am
1st Grade - Session I: 9:00am-11:00am
1st Grade - Session II: 10:30am-12:30pm
2nd Grade - Session I: 9:00am-11:00am
2nd Grade - Session II: 10:30am-12:30pm
3rd Grade - Session I: 9:00am-11:00am
3rd Grade - Session II: 10:30am-12:30pm
4th Grade - Session I: 9:00am-11:00am
4th Grade - Session II: 10:30am-12:30pm
5th Grade - Session I: 9:00am-11:00am
5th Grade - Session II: 10:30am-12:30pm
6th Grade - Session I: 9:00am-11:00am
6th Grade - Session II: 10:30am-12:30pm
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Hebrew School: 2nd - 6th Grade
There are three times for Hebrew School:
Tuesdays from 4:15pm-6:15pm for 2nd through 6th Grades
Wednesdays from 4:15pm-6:15pm for 2nd through 5th Grades
Wednesdays from 7:00pm-8:30pm for 6th Grade
Please selct from the drop down menu which grade and day you wish to
enroll your child in:
Hebrew School:
Please Select One:
2nd Grade - HeadStart Hebrew (Optional): Tues. 4:15pm-6:15pm
2nd Grade - HeadStart Hebrew (Optional): Wed. 4:15pm-6:15pm
3rd Grade - Hebrew I: Tues. 4:15pm-6:15pm
3rd Grade - Hebrew I: Wed. 4:15pm-6:15pm
3rd Grade - Hebrew I: Sun. 9:00am-11:00am (Session I)
3rd Grade - Hebrew I: Sun. 10:30am-12:30pm (Session II)
Parent-Child Hebrew I: Wed. 6:00pm-8:30pm Only
4th Grade - Hebrew II: Tues. 4:15pm-6:15pm
4th Grade - Hebrew II: Wed. 4:15-6:15pm
5th Grade - Hebrew III: Tues. 4:15pm-6:15pm
5th Grade - Hebrew III: Wed. 4:15pm-6:15pm
6th Grade - Tues. 4:15pm-6:15pm
6th Grade - Wed. 7:00pm-8:30pm
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7th Grade STAR Program: 7:00pm-8:30pm
All 7th grade students take a core class and an elective. Please select either
Jewish Lifecycles or Heroes and Holidays as your elective:
Track I: Core Class & Jewish Lifecycles (Hebrew as an additional option)
Track II: Core Class & Heroes & Holidays (Hebrew as an additional option)
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Hebrew School: 8th - 12th Grade
Please selct from the drop down menu which grade you wish to
enroll your child in:
8th Grade - Tues. 7:00pm - 8:30pm
9th Grade - Tues. 7:00pm - 8:30pm
10th Grade - Tues. 7:00pm - 8:30pm
11th Grade - Tues. 7:00pm - 8:30pm
12th Grade - Tues. 7:00pm - 8:30pm
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Placement Requests
Each student may request to be placed with up to 2 friends for Judaica classes only. These requests must be mutual to be fulfilled. We will do our best to fulfill these requests. Requests made on forms submitted by May 15 will be given first priority.
Please place my child with:
Child 1:
and
Child 2: