Religious School Enrollment for 2024-2025 Religious School - Form

School Enrollment for 2024-2025 Religious School

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Welcome to the 5785 School Year (2024-25)
Welcome to Lee and Frank Goldberg Family Religious School registration for 5785! We look forward to students from PreK-12th Grade joining us for an exciting and engaging year of learning, but first we must take care of a few administrative details.

Enrollment Eligibility Policy
Beth Israel Membership is required in order to enroll in Religious School (except for Pre-Kindergarten). Please contact the Religious School Office at 858-900-2551 or rstig@cbisd.org for more information.
Additionally, your Beth Israel account balance must be in good standing. You will be asked to choose a payment plan for tuition at the end of this form.

Every applicant will be charged a non-refundable registration fee of $125 per student upon submission of this form, which guarantees placement in the Religious School.

Please submit a separate form for each child enrolling.

Academic Calendar
A full academic calendar is available on the Beth Israel website. Click here to download the PDF.

PreK-6th Grade begins Sunday, September 8
7th-12th Grade begins Tuesday, September 24
3rd-6th Grade Weekday Hebrew begins Tuesday, September 24, & Wednesday, September 25

PLEASE NOTE: FOR ENROLLMENTS AFTER 10AM ON THURSDAY, SEPTEMBER 5, PLEASE REPORT TO THE RELIGIOUS SCHOOL OFFICE ON YOUR FIRST DAY OF SCHOOL FOR CLASS ASSIGNMENT.

FAMILY INFORMATION

Are you a member of Beth Israel?

YesNo

Student Home Address

* Street Address

* City

* State

* Zip Code

Parent Information

* Parent 1 First Name

* Parent 1 Last Name

* Parent 1 Email

* Parent 1 Phone

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Phone

Emergency Contact

* Emergency Contact First Name

* Emergency Contact Last Name

* Emergency Contact Phone Number

* Relationship to Student

Can this person pick up my child from Religious School?

Yes, can pickup

Waivers

* I hereby grant permission for my child/children to participate in Beth Israel's Religious School activities and events and to release Beth Israel and its representatives from all liability arising from my child's participation.

Yes

* Emergency & Medical Information: Occasionally an emergency arises where it is necessary for a staff representative of Beth Israel to contact parents while their children are at school. Every effort will be made to notify the parents or someone designated by them if a child should become very ill or be involved in an accident. If this cannot be done, the policy of the Temple is to transport the child to the nearest emergency hospital. This action will be taken in all such cases unless instructions to the contrary are provided by the parents. I, the undersigned, parent/guardian of the aforementioned minor(s), do hereby authorize Beth Israel as agent for the undersigned to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care which is to be rendered under the general or special supervision of any physician or surgeon, who is licensed under the provisions of the California Medicine Practice Act, on the medical staff of a hospital, whether such examination, diagnosis or treatment is rendered at the office of said physician or at such a hospital. It is understood that this authorization is given in advance of any specific examination, diagnosis, treatment or hospital care being required and is given to provide authority and power on the part of our above-named agent to give specific consent to any and all such examinations, diagnoses, treatment or hospital care which the aforementioned physician in the exercise of his/her judgment may deem advisable. This authorization is given pursuant to the provisions of Section 25.8 of the Civil Code of California and will cover attendance at all authorized functions of the Religious School. I hereby consent to Beth Israel's emergency medical policy.

Yes

* I affirm that my child's immunizations, as required for public schools, will be up to date as of September 1, 2024.

Yes

* I understand and agree to the Enrollment Eligibility Policy described at the top of this page.

Yes

* I hereby grant my express permission for the Religious School to email me regarding events, calendar updates, and other important information.

Yes

I hereby grant permission for Beth Israel to use my child's image and voice in printed & electronic materials, with the knowledge that no last names will be used on a public document.

YesNoPLEASE NOTE: In either case, you will be asked to upload a reference photo of your child for identification purposes only. This image will be deleted at the conclusion of the school year.

* Authorize your answers to all of the above by signing the name of one parent or guardian here.

Please describe any custodial arrangements that you feel would affect your child's participation in Religious School activities.

I am interested in applying for a scholarship.

NoYes

PLEASE NOTE: If YES, you must complete a separate scholarship form which will be sent to you following successful submission of this form. The $125 enrollment fee per student must first be paid upon completion of this application before scholarship can be awarded.

STUDENT INFORMATION

* Student First Name

* Student Middle Name

* Student Last Name

* My child's preferred name:

* My child's preferred pronouns:

* Will your student be new to the Religious School this year?

* Secular School

* Secular School District

Does your child have any food allergies or dietary restrictions?

Please describe your child's food allergies or diet restrictions (vegan, vegetarian, kosher, etc.)

Does your child have any non-food allergies?

Please describe your child's non-food allergies and allergic reactions (hives, anaphylactic shock, etc) or special instructions which staff should be aware of.

CLASS SELECTION

Please note that starting this year, 3rd-6th Grade Weekday Hebrew classes will be offered either online OR in-person.

In-Person classes will meet on Tuesdays at Beth Israel from 4:30-6:00pm.
Online classes will meet on Wednesdays on Zoom, from 4:30-5:10pm.
All 3rd-6th grade will continue to meet regularly on Sunday mornings from 9:00-11:30am.

3rd-6th Grade Weekday Hebrew class selections can be changed up until August 26. Please reach out to rstig@cbisd.org to swap sections.

* What grade and weekday Hebrew option is your child enrolling to in the Religious School?

Is your child also enrolling to Madrichim-In-Training?

Do not select YES unless your child is in 8th Grade, or has otherwise arranged with Jessica Kretzer to participate in the Madrichim-in-Training class.

Does your child receive academic support at school? (IEP, 504 plan, classroom aide, tutoring, etc.)

Please describe your child's academic support needs.

You will be contacted by Jessica Kretzer to ensure acommodations/modifications are in place before school begins.

Would you like to make any specific placement requests? Please understand that we cannot guarantee all requests.

Please list any placement requests here.

PAYMENT

Please read this section carefully.

Today, you will be charged a $125 enrollment fee. This is a one-time, nonrefundable payment that guarantees your child's spot in the Religious School and marks your completion of this enrollment form.

If you selected a Madrichim-In-Training course, you will also be charged for the $180 tuition.

For regular grade-level tuition, you can choose one of the following options:

Pay in Full
Your full tuition will be charged to the payment method of your choice.

Pay in 2 Installments
Half your tuition will be charged to the payment method of your choice now. The other half will be charged on January 1st, 2025.

Pay in Monthly Installments
Your tuition will be broken up into equal monthly charges billed automatically between now and May 2025.

I'm Applying for a Scholarship
Only select this option if you have also checked the box to request a scholarship. Be sure to complete the separate scholarship form to follow. You will not be charged for tuition until an agreement has been reached.

You will also be asked to select a payment method for these upcoming tuition payments.

Please note: you must be logged into your Shulcloud account in order to select the option "Charge my existing credit card on file."

Pre-Kindergarten Tuition: Free for Members; $350 for Non-Members

Kindergarten Tuition: $1,100

1st Grade Tuition: $1,100

2nd Grade Tuition: $1,100

3rd Grade Tuition (Wednesday Online Hebrew: $1,375

3rd Grade Tuition (Tuesday In-Person Hebrew: $1,575

4th Grade Tuition (Wednesday Online Hebrew: $1,575

4th Grade Tuition (Tuesday In-Person Hebrew: $1,750

5th Grade Tuition (Wednesday Online Hebrew: $1,575

5th Grade Tuition (Tuesday In-Person Hebrew: $1,750

6th Grade Tuition (Wednesday Online Hebrew: $1,575

6th Grade Tuition (Tuesday In-Person Hebrew: $1,750

7th Grade Tuition: $1,375.00

8th Grade Tuition: $1,275.00

9th Grade Tuition: $1,275.00

10th Grade Tuition: $1,275.00

11th Grade Tuition: $975.00

12th Grade Tuition: $975.00

Please select a payment method for your tuition charges.

Charge my existing credit card on file (account must be logged in)Charge the same card I'm using for today's enrollment feePay by checkDon't worry--if you need to change this later, you can always reach out to someone in the Religious School office.

Before clicking ENROLL, please review all of the above information to ensure that it is correct.

Charges due today: