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Section A: Family Contact Information
* Relationship to Student(s) (Primary)Please Select Father Mother Legal Guardian Other
* State (Primary)--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
* Relationship to Student(s) (Secondary)Please Select Father Mother Legal-Guardian Other
* Emergency Contact RelationshipPlease Select Father Mother Legal-Guardian Other
Section B: Student Enrollment Information
* Student 1 Secular School GradePlease Select One Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 This is the same as your child's grade for the secular school year unless you have made other arrangements with the religious school office.
Please Describe Allergies
Please Upload your 504 or IEP (PDF only)
You can upload a maximum of 1 files.
By signing my name below, my child(ren) have permission to participate in the Rabbi Felix Aber Religious School of Temple Beth El and I declare the following to be true:
1. I certify that my child(ren) meet(s) all New York State vaccination requirements
2. I will keep my child(ren) home if they:
a) have a fever or have had one in the previous twenty-four (24) hoursare vomiting, or have had intestinal disturbance in the previous twenty-four (24) hours
b) have heavy nasal discharge and/or cough
c ) have discharge from eye(s)
d) have symptoms of a possible communicable disease
e) have been exposed to someone with COVID-19 in the previous 14 days
3. I authorize the Director of Youth Education & Programming, or a person designated by the Director of Youth Education & Programming, to obtain emergency medical care for my child(ren) in the event such care is indicated. I understand that every effort will be made to notify a parent/guardian prior to treatment.
* Student 2 Secular School GradePlease Select One Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 This is the same as your child's grade for the secular school year unless you have made other arrangements with the religious school office.
Please Describe Allergies
Please Upload your 504 or IEP (PDF only)
You can upload a maximum of 1 files.
By signing my name below, my child(ren) have permission to participate in the Rabbi Felix Aber Religious School of Temple Beth El and I declare the following to be true:
1. I certify that my child(ren) meet(s) all New York State vaccination requirements
2. I will keep my child(ren) home if they:
a) have a fever or have had one in the previous twenty-four (24) hoursare vomiting, or have had intestinal disturbance in the previous twenty-four (24) hours
b) have heavy nasal discharge and/or cough
c ) have discharge from eye(s)
d) have symptoms of a possible communicable disease
e) have been exposed to someone with COVID-19 in the previous 14 days
3. I authorize the Director of Youth Education & Programming, or a person designated by the Director of Youth Education & Programming, to obtain emergency medical care for my child(ren) in the event such care is indicated. I understand that every effort will be made to notify a parent/guardian prior to treatment.
* Student 3 Secular School GradePlease Select One Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 This is the same as your child's grade for the secular school year unless you have made other arrangements with the religious school office.
Please Describe Allergies
Please Upload your 504 or IEP (PDF only)
You can upload a maximum of 1 files.
By signing my name below, my child(ren) have permission to participate in the Rabbi Felix Aber Religious School of Temple Beth El and I declare the following to be true:
1. I certify that my child(ren) meet(s) all New York State vaccination requirements
2. I will keep my child(ren) home if they:
a) have a fever or have had one in the previous twenty-four (24) hoursare vomiting, or have had intestinal disturbance in the previous twenty-four (24) hours
b) have heavy nasal discharge and/or cough
c ) have discharge from eye(s)
d) have symptoms of a possible communicable disease
e) have been exposed to someone with COVID-19 in the previous 14 days
3. I authorize the Director of Youth Education & Programming, or a person designated by the Director of Youth Education & Programming, to obtain emergency medical care for my child(ren) in the event such care is indicated. I understand that every effort will be made to notify a parent/guardian prior to treatment.
* Student 4 Secular School GradePlease Select One Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 This is the same as your child's grade for the secular school year unless you have made other arrangements with the religious school office.
Please Describe Allergies
Please Upload your 504 or IEP (PDF only)
You can upload a maximum of 1 files.
By signing my name below, my child(ren) have permission to participate in the Rabbi Felix Aber Religious School of Temple Beth El and I declare the following to be true:
1. I certify that my child(ren) meet(s) all New York State vaccination requirements
2. I will keep my child(ren) home if they:
a) have a fever or have had one in the previous twenty-four ( 24) hours are vomiting, or have had intestinal disturbance in the previous twenty-four ( 24) hours
b) have heavy nasal discharge and/or cough
c ) have discharge from eye(s)
d) have symptoms of a possible communicable disease
e) have been exposed to someone with COVID-19 in the previous 14 days
3. I authorize the Director of Youth Education & Programming, or a person designated by the Director of Youth Education & Programming, to obtain emergency medical care for my child(ren) in the event such care is indicated. I understand that every effort will be made to notify a parent/guardian prior to treatment.
Section C: Media Release Form
Many wonderful events take place at the Rabbi Felix Aber Religious School and we like to take photographs and record videos to celebrate student achievement and share our amazing educational programs with the community. Photographs and videos may be submitted to area newspapers, used throughout the synagogue and/or posted on the Temple Beth-El website or Facebook page to advertise our programs.
Section D: Congregation Community
Any other skills or talents you might be willing to share?