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TAY Religious School '23-'24
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First Name
Parent/Guardian 1 (P/G1)
Last Name
Parent/Guardian 1 (P/G1)
Email Address (P/G1)
Mobile Number (P/G1)
First Name
Parent/Guardian 2 (P/G2)
Last Name
Parent/Guardian 2 (P/G2)
Email Address (P/G2)
Mobile Number (P/G2)
Street Address
City
State
--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
Zip Code
Street Address
P/G2 if different from above
City
P/G2 if different from above
State
--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
P/G2 if different from above
Zip Code
P/G2 if different from above
Email Preferences
P/G1
P/G2
Both
Important communication will occur by email. Please indicate which email(s) to use when sending information related to Religious School.
Emergency Contact 1
First & Last Name and Phone Number
*Other than a parent
Emergency Contact 2
First & Last Name and Phone Number
*Other than a parent
Student 1
First & Last Name
Student 1
Date of Birth
Student 1
Student Email Address
If applicable
Grade for 2023-2024
Student 1
Tell us more about Student 1
• Does your child have any special learning needs/situations?
• Does your child have an IEP or 504 Plan at their school? If yes, please explain.
• Does your child have any health concerns? Including allergies, medications, etc.?
• Additional Concerns? Please feel free to call Cantor Jaffe to discuss.
Student 2
First & Last Name
Student 2
Date of Birth
Student 2
Student Email Address
If applicable
Grade for 2023-2024
Student 2
Tell us more about Student 2
• Does your child have any special learning needs/situations?
• Does your child have an IEP or 504 Plan at their school? If yes, please explain.
• Does your child have any health concerns? Including allergies, medications, etc.?
• Additional Concerns? Please feel free to call Cantor Jaffe to discuss.
Student 3
First & Last Name
Student 3
Date of Birth
Student 3
Student Email Address
If applicable
Grade for 2023-2024
Student 3
Tell us more about Student 3
• Does your child have any special learning needs/situations?
• Does your child have an IEP or 504 Plan at their school? If yes, please explain.
• Does your child have any health concerns? Including allergies, medications, etc.?
• Additional Concerns? Please feel free to call Cantor Jaffe to discuss.
Siblings' Names & Dates of Birth
(younger and older; not in Religious School)
Media Permissions
TAY Publicity/Newsletters/Jewish Observer
Student 1 - Yes
Student 2 - Yes
Student 3 - Yes
I/We give permission for my/our child's photo and/or name to be used in Temple Adath Yeshurun publicity, newsletters, and the Jewish Observer.
Website/Social Media
Student 1 - Yes
Student 2 - Yes
Student 3 - Yes
I/We give permission for my/our child's photo to be used on our website and/or social media.
Religious School Directory (Please mark your preferences; check all that apply)
Student Name(s)
First & Last Name (P/G1)
Mobile Phone Number (P/G1)
Email Address (P/G1)
Address (P/G1)
First & Last Name (P/G2)
Mobile Phone Number (P/G2)
Email Address (P/G2)
Address (P/G2)
Please do not include my information in the Religious School Directory
Temple Adath Yeshurun is committed to make it possible for every child to attend Religious School. Thus we have a policy to offer special consideration for pressing financial circumstances. Furthermore, the Religious School works in close cooperation with the membership committee and together we make it possible and feasible for families to become members of Temple Adath Yeshurun.
Please select all that apply
0
1
2
3
4
5
6
7
8
9
10
K-Gr 2 - $275.00
0
1
2
3
4
5
6
7
8
9
10
Gr 3 - Gr 7 - $400.00
Grades K-2 (Sundays at TAY Only)
Grades 3-7 (Sundays at TAY; Wednesdays at SCHS)
Financial Assistance
Financial Assistance
If you are in need of financial assistance, please check this box and we will reach out to you.
Do not select enrollment quantities to the left if you are in need of financial assistance.
Additional Contribution
If you are able and willing to contribute beyond what is reflected in your selections, we welcome you to do so. Every contribution is deeply appreciated. Please list the amount you wish to contribute. Contributions will be used to support those in need of financial assistance for tuition, and Religious School expenses and operational costs.
Amount Due
Thu, May 9 2024
1 Iyyar 5784
Today's Sefirah Count Is 16
היום ששה עשר יום שהם שני שבועות ושני ימים לעמר
Today's Calendar
Rosh Chodesh Iyyar
Shacharit
: 7:30am
Mincha/Maariv
: 5:30pm
Friday Night
Mincha
: 5:30pm
Candle Lighting
: 7:58pm
Shabbat Day
Shacharit
: 9:15am
Havdalah
: 8:59pm
This week's Torah portion is
Parshat Kedoshim
Shabbat, May 11
Candle Lighting
Friday, May 10, 7:58pm
Havdalah
Motzei Shabbat, May 11, 8:59pm
Rosh Chodesh Iyyar
Thursday, May 9
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Thu, May 9 2024 1 Iyyar 5784