Nesiyah at Shaare Torah 5786

Welcome to Registration for Nesiyah at Shaare Torah!

We could not be more excited to be part of your child's religious education!
If you are a member of Shaare Torah, please be sure you are signed into your ShulCloud account BEFORE completing this form. We are pleased to offer a $100 tuition discount (per family) for those who complete registration by May 15, 2025 using the discount code provided. If you do not already have a ShulCloud account, you can create one by completing and submitting this form. If you have any questions, comments, or concerns about registration, please reach out to Devin Egber at (301) 869-9842 or degber@shaaretorah.org.

Section A: PARENT or GUARDIAN Contact Information

Please note that all day-to-day Nesiyah at Shaare Torah communications are distributed by Remind. Remind is a free text messaging app for all school-wide and class announcements. A few weeks before school begins, you will receive a text message asking you to join the Nesiyah at Shaare Torah group. Please accept that request.

In this section please list the contact information for all contacts that need to receive Remind updates for the child you are registering.

TO AVOID SYSTEM ERRORS, PLEASE ANSWER THIS FIRST QUESTION ABOUT YOUR MEMBERSHIP STATUS BEFORE YOU BEGIN THE FORM:

* Are you a member of Shaare Torah?

Shaare Torah is excited to welcome members of the wider Jewish Community to Nesiyah at Shaare Torah for a one-year trial term. We believe it is important before committing to membership that families have the opportunity to experience our programs and determine whether it is the right fit for them. We do require that families enrolled in our religious school programs for multiple years be members of the synagogue.

Parent/Guardian #1 Contact

To change which person is the primary, please edit your account.

* First Name

* Last Name

* Email

* Mobile

Parent/Guardian #2 Contact

No secondary contactSecondary contact (in household)

* First Name

* Last Name

* Email

* Mobile

Emergency Contact

Please provide an emergency contact in case the parents or guardians listed above cannot be reached.

* First Name

* Last Name

* Cell Phone

* Email

Relationship of Emergency Contact to student

Is this contact authorized to pick up this child?

YesNo

Alternate Contact(s)

All alternate contact(s) will receive the same Religious School communications as the primary contact.

First Name

Last Name

Cell Phone

Relationship of Alternate Contact to student(s)

Section B: STUDENT Information

Please fill out this form once for each child you plan to enroll in Nesiyah at Shaare Torah. If you are a member, fill out the box on the top with the name of the child you are registering for, and the demographic information will autofill (any not autofilled information can be edited in your ShulCloud Account)

* First Name

Middle Name

* Last Name

* Birthdate

Hebrew Name

Other pronoun preference:

Did your child attend religious school in 2024-2025?

YesNo

* Student Grade (2025-2026)

* What Preschool/Elementary/Middle School will your child attend during the week in 2025-2026?

* Midweek Selection

Please Select OneChug Derech: Wednesdays 4:45-6:15 PM*Zoom Derech: Tuesdays Virtual Session 4:30-5:30 PM*Virtual session has limited spots available

Learning Details

* Does this student have special learning needs or require special accommodations?

Please Select OneYesNo

* Does your child have an IEP or 504 in place?

Please Select OneYesNo*If your child has a 504 or IEP, we will reach out to you to learn more about your child's needs so that we are ready to accommodate them.

* Does your child receive accommodations/modifications or private services (OT, etc.) in secular school?

Please Select OneYesNo

Learning Needs Details

* What is your child's reading level in English?

* Please describe your child's learning style:

* What are your child's challenges in the classroom?

* What does your child do especially well in the classroom?

Are there any specific triggers that educational staff should be aware of? (e.g. behaviors, body language, verbal language)

* What behavioral strategies are effective for your child?

* How can the classroom teacher help to make your child's religious school experience successful this year?

Health Details

* Does this child have food allergies or restrictions that we need to know about?

Please Select OneYesNo

Allergy/Medication Details

Please list any details here. Does this child have take any medications during school hours that we need to know about?

* Does your child have any physical challenges or accessibility needs we should know about?

Please Select OneYesNo

Accessibility Details

* Has there been a serious illness, death, divorce, or other traumatic experience in the family which may have had an impact on your child?

Please Select OneYesNo

Comments:

Section C: Parent Involvement

Parent involvement is an integral part of our program.
We greatly appreciate your support!

Other parent interests:

Other ways I am interested to volunteer

Section D: Release Forms

Health/Medical Release

My child has permission to participate in Nesiyah at Shaare Torah. I hereby authorize the religious school director, or person designated by the religious school director, to obtain emergency medical care for my child in the event such care is indicated. I understand that every effort will be made to notify a parent/guardian prior to treatment.

My child is in good physical health, and has my permission to participate in all activities that are part of the regular religious school program. Field trips may be arranged by Nesiyah at Shaare Torah, and transportation may include bus or vehicle driven by a classmate's parent or guardian.

* Initial here

I understand and agree.

Media Release

Shaare Torah may use my student's photograph in ST publications and marketing materials, including our newsletter, website, social media, and brochures. We will never use the students name with their picture.

Media Release

YesNo

Walking Release

I give permission for my student(s) to walk to shul and walk home by themselves from Nesiyah at Shaare Torah.

Walking Release

YesNo

Section E: Education Excellence Fund

Optional Education Excellence Fund Donation

Finances should never be a barrier to providing a Jewish education. Please consider making a donation to offset the cost of a student in need of financial assistance.

Section F: Payment Information

Total Amount

Nesiyah at Shaare Torah tuition is subject to Shaare Torah's financial policies & is non-refundable.

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