Religious School Registration 2024-25

Welcome! There are three sections needed to complete registration for religious school:

Section One: Parent/Guardian and General Information
Section Two: Student Information
Section Three: Forms and Permissions

At the end of the form, you will see a message that says you've completed the form and can now click "Register." Please don't hit the registration button before you've completed all three sections.

* Are you a new or returning family?

Section One—Parent/Guardian and General Information

Please fill out your information below. If you are registering for your grandchildren or children outside your home, please make sure to specify who we should contact about the children registered.

Adult Primary

This should be the point person for TBE to contact regarding your child.

* Name

Please enter your first and last name.

* Email address

Please enter your email address.

* Mobile number

Please enter your mobile number.

Additional phone number

Please enter an additional number at which we can reach you.

* Relationship to student(s)

Adult Secondary

Name

Please enter your first and last name.

Email address

Please enter a current email address.

Mobile number

Please enter your mobile number.

Home phone

Please enter your home phone or an additional contact number.

Relationship to student(s)

Is there an additional person we should include for communication about the child(ren) being registered?

Address Information

Please enter the address to which we should send any communications/materials for the student.

* Address Line 1

Address Line 2

* City

* State

* Zip

Safety Information

We will use this information to help ensure the safety of your child while under our care. Please note, an emergency contact person and should NOT be a parent or guardian.

* Name of emergency contact

* Phone number of emergency contact

* Relationship to student(s)

Name of emergency contact

Phone number of emergency contact

Relationship to student(s)

* Please list the names and phone numbers of additional adults that are allowed to pick up your child from Hebrew or Sunday school:

If your children are allowed to be picked up by an adult not listed as either the primary or secondary parent/guardian, please list that information here. If there are no additional adults, please enter N/A.

* Please list the names and phone numbers of the pediatrician(s) you use:

Would you like to receive a scholarship application?

Please select...Yes, please send me a scholarship application.No, I don't need an application.

If yes, please make sure you select a payment plan once you come to the payment page. Please note, while payment plans are available to all, scholarships are only available to members of Temple Beth El.

Section Two—Student Information

Here you'll be able to select how many children you'd like to enroll, and enter their information. Please select below whether you are currently a member of Temple Beth El in order to see your registration options.

Are you a member of Temple Beth El?

* How many children would you like to enroll in religious school?

Would you like to receive information about membership at Temple Beth El?

Yes.No.

* How many children would you like to enroll in religious school?

Child One

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name:

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Date of Birth (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

* If your child has any behavioral, educational, or medical concerns that will require our attention, please list those needs below. If your child has an individualized education plan (IEP) or 504 plan, please include those details here.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs.

Yes.No.

Please provide any additional information about your child.

Let us know anything about your child that will help us engage them. Do they have interests that they're passionate about (e.g., art, music, journalism, dance, languages, gardening, acting/performance, writing, reading, teaching/mentoring, storytelling, film, technology, sports, etc.)?

Child Two

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name:

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Date of Birth (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs.

Yes.No.

* Please provide any additional information about your child.

Child Three

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name:

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Date of Birth (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs.

Please select.Yes.No.

* Please provide any additional information about your child.

Child Four

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name:

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Date of Birth (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs.

Please select.Yes.No.

* Please provide any additional information about your child.

Child Five

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Date of Birth (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs.

Please select.Yes.No.

* Please provide any additional information about your child.

Child Six

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Date of Birth (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs.

Please select.Yes.No.

* Please provide any additional information about your child.

Child One

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name:

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Birth Date (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs.

Please select.YesNo

* Please provide any additional information about your child.

Child Two

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name:

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Birth Date (MM/DD/YYYY):

* Child's Preferred Pronouns:

Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs

Please select.YesNo

* Please provide any additional information about your child.

Child Three

* Grade Enrollment for 2024–2025:

* Please enter child's specific grade:

Is this your child's first time in a religious education program?

Please select.Yes.No.

* Child's First and Last Name:

Child's Hebrew Name:

Please enter your child's Hebrew name (if known). If you are unsure of spelling, please transliterate as best as possible.

* Child's Birth Date (MM/DD/YYYY):

* Child's Preferred Pronouns:

* Child's Preferred Name:

* Allergies/Medical Conditions

Please list any allergies or medical conditions that your child has which we should be aware of. Enter N/A if not applicable.

* Current Medications/Doses

Please list any current medications and doses that your child is currently taking and whether they will need to be administered during class. Enter N/A if not applicable.

This information on learning, social, or behavioral issues will help us offer the best possible learning experience! All information will remain confidential.

I would like the teacher to contact me to discuss my child's learning needs

YesNo

* Please provide any additional information about your child.

Total Tuition:

Section Three—Forms and Permissions

Here we will go over Temple Beth El's Media Consent and Release form, our Immunization Requirements, Medical Release form, and any interests you or your family might have in getting involved with the community.

Student Media Consent and Release Form

Students may be photographed or recorded while participating in class or various events. Temple Beth El sometimes features these photographs on our website, in the monthly bulletin, on social media, or via other types of media.

I, as the parent or guardian, hereby give Temple Beth El and its employees and representatives permission to print, photograph, and record my child for use in audio, video, film, or any other electronic, digital and printed media.

This with with the understanding that neither Temple Beth El nor its representatives will reproduce said photograph, interview, or likeness for any commercial value or receive monetary gain for use of any reproduction/broadcast of said photograph or likeness. I am also fully aware that I will not receive monetary compensation for my child's participation.
This is with the further understanding that Temple Beth El will not publish any personal information about my child.
I further release and relieve Temple Beth El, its Board of Trustees, employees, and other representatives from any liabilities, known or unknown, arising out of the use of this material.

I certify that I have read this statement and fully understand its terms and conditions.

* Please list the names of the children to whom this release applies:

If you would like to make specific selections about media usage, please use the check boxes below. (No selection will be interpreted as full consent.)

I will allow photographs of my child.I will allow video recordings of my child.I will allow use on Temple Beth El's public social media.I will allow use on Temple Beth El's private Religious School Facebook group.I will allow publication in the Temple Beth El Bulletin.I will allow publication on the Temple Beth El website.

* Name of Parent/Guardian:

By typing your name above, you acknowledge that this functions as an electronic signature.

* I agree to the terms and conditions above and allow Temple Beth El to use my child's likeness.

Please Select OneYesNo

Immunization Form and Policy

For the health and safety of our community, all children must be up-to-date on their immunizations to physically attend classes at TBE. For in-person classes, we will need a copy of your child’s up-to-date immunization record on file. You can access your child's immunization records online by either creating or signing into a MyIR account (clicking on this link will open a new page and won't cause you to lose progress on your form).

Do I need to submit my child's records?

If your child has never attended TBE's religious school program before, we will need copies of their immunization records.
If your child is entering preschool you will need to submit records, and if they are entering kindergarten or 7th grade, you will need to submit updated records even if your child was previously enrolled.

To submit your child's records:
You may upload proof of immunization below, email it to Olivia at olivia@tbetacoma.org, bring a copy of this record to the office before the school year begins, or bring a copy on the first day of in-person classes. A copy of the Immunization Status form can be found here: https://www.tbetacoma.org/immunizations.

Please note: your child will not be allowed to participate in school until we have a copy of their current record on file.

* I will submit immunization proof by...

If you selected to upload your child's immunization records, do so below.

Upload proof of current immunizations for your child(ren).

By checking this box, I attest that my child/ren is current with their immunizations according to State of Washington's guidelines.

Medical Release Form

In case of accident or serious illness, Temple Beth El will attempt to contact me. If the school is unable to reach me, I hereby authorize (by submission of this application and by entering my initials below) Temple Beth El of Tacoma to administer first aid (including use of a parent-supplied EpiPen).

I hereby authorize the religious education director, or person designated by the religious education director, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of Washington. I understand that every effort will be made to notify a parent/guardian prior to treatment.

It is understood that this permission is effective as long as the child is enrolled in religious school.

I certify that my child(ren) is(are) in good physical health or that Temple Beth El has been informed of any concerns. They have my permission to participate in all activities that are part of the regular religious school program. Field trips may be arranged by Temple Beth El, and transportation may include bus or vehicle driven by a classmate's parent or guardian.

* Medical release form:

Medical release form:By checking this box, I acknowledge that I have read and understood the information above

* Please enter your initials below to authorize the medical release form:

Volunteering

Our community is more meaningful when everyone is involved! Please consider volunteering to help create an enriching experience for your family. The work of raising and educating Jewish children cannot be done in the school alone, but is a project of the school, the family, and the community. We are in need of regular volunteers to make our school work. Would you consider supporting our school in either an ongoing role or a limited engagement?

Do you have any other skills or talents you might be willing to share?

Community Lunches

This year, in order to help sustain our popular community lunch program following religious school on Sundays, we are asking families to consider making a donation. We are suggesting $50/student. If you wish to make a contribution towards this program, please enter an amount below.

Community Lunch Contribution:

Congratulations! You can now click the orange "Register" button below.