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Deutsch Early Childhood Center
Registration Form: 2016-17

This form is for Temple Israel Member DECC Registration ONLY. If you would like to become a member of Temple Israel, please contact Laura Robbins, Director of Membership, at 314-432-8050 or lrobbins@ti-stl.org for more info prior to registering for DECC.

Please complete the entire form before clicking submit.

The parent/guardian contact information below will also be used for our RAVE Emergency Notification System, which enables Temple Israel Religious School to contact you in the event of an emergency or safety concern via text, phone, and email.

Please include city, state, and zip.

Primary contact number.




Secondary contact number.




Primary email address in which you'd like to be contacted in case of emergency.

Please include city, state, and zip.

Primary contact number.




Secondary contact number.




Primary email address in which you'd like to be contacted in case of emergency.





Primary address for all information to be mailed to. Please include city, state, and zip.

mm/dd/yy

Please put the gender your child identifies as.

Yes
No
Yes
No

Student 1 Programs

Ages indicated below are by July 31

Wednesday

9:30am - 11:30am

Thursday

9:30am - 11:30am

The following classes run from 9:00am - 12:00 noon

Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
Monday - Friday
Monday - Friday

Primary address for all information to be mailed to. Please include city, state, and zip.

mm/dd/yy

Please put the gender your child identifies as.

Yes
No
Yes
No

Student 2 Programs

Ages indicated below are by July 31

Tuesday

9:30am - 11:30am

Thursday

9:30am - 11:30am

The following classes run from 9:00am - 12:00 noon

Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
Monday - Friday
Monday - Friday

Primary address for all information to be mailed to. Please include city, state, and zip.

mm/dd/yy

Please put the gender your child identifies as.

Yes
No
Yes
No

Student 3 Programs

Ages indicated below are by July 31

Tuesday

9:30am - 11:30am

Thursday

9:30am - 11:30am

The following classes run from 9:00am - 12:00 noon

Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
Monday
Tuesday
Wednesday
Thursday
Friday
Monday - Friday
Monday - Friday

Medical: In the event of a medical emergency, I authorize the staff to administer first aid and/or obtain emergency medical treatment for my child. I understand that an attempt will be made to contact me immediately. If injury is serious and parents cannot be contacted, my child will be brought by ambulance to the nearest hospital. Costs of the medical attention and ambulance are the responsibility of parent/guardian.


Emergency Authorization It is understood and agreed that Temple Israel, its agents, and employees shall not be liable for any claims, actions, or causes of action arising out of any conduct authorized here, and the undersigned hereby specifically releases Temple Israel and its agents, designees, and employees from any and all such claims, actions, or causes of action.


Publicity Here at TI, we work hard to build community – in our classrooms, in our hallways, and in everything that we do. Our DECC and Religious school want to share all the wonderful things that our students do here with you, and that sharing includes lots of pictures - on our walls, in our classrooms, in our newsletters, and other media sources. We will not list student names with pictures. We also publish an in-school directory by class with student names and phone numbers. If you have any concerns or questions about this, please contact us at 314-432-8076.


Wednesday with Miss Lisa $0.00
Thursday with Miss Jane $105.00
Tadpoles/Froggie (2 Days) $220.00
Froggies/Bumblebees (3 Days) $315.00
Froggies/Bumblebees (4 Days) $410.00
Froggies/Bumblebees (5 Days) $505.00
Dolphins $505.00
Lizards 9:00am - 1:15pm $665.00
Wednesday with Miss Lisa $0.00
Thursday with Miss Jane $105.00
Tadpoles/Froggie (2 Days) $220.00
Froggies/Bumblebees (3 Days) $315.00
Froggies/Bumblebees (4 Days) $410.00
Froggies/Bumblebees (5 Days) $505.00
Dolphins $505.00
Lizards 9:00am - 1:15pm $665.00
Wednesday with Miss Lisa $0.00
Thursday with Miss Jane $105.00
Tadpoles/Froggie (2 Days) $220.00
Froggies/Bumblebees (3 Days) $315.00
Froggies/Bumblebees (4 Days) $410.00
Froggies/Bumblebees (5 Days) $505.00
Dolphins $505.00
Lizards 9:00am - 1:15pm $665.00

OTHER PROGRAMS OFFERED AT DECC
Please call the main office to make arragements
Pre and Post Care
(Payment is by the month and cost is $10 per hour)
Lunch Brunch
12:00 - 1:15pm
(Payment is by the month and cost is $10 per day)
Extended Days
1:15 - 3:15pm
(Payment is by the month and cost is $20 per day)

Wednesday with Miss Lisa $0.00
Thursday with Miss Jane $130.00
Tadpoles/Froggie (2 Days) $265.00
Froggies/Bumblebees (3 Days) $390.00
Froggies/Bumblebees (4 Days) $485.00
Froggies/Bumblebees (5 Days) $610.00
Dolphins $610.00
Lizards 9:00am - 1:15pm $745.00
Wednesday with Miss Lisa $0.00
Thursday with Miss Jane $130.00
Tadpoles/Froggie (2 Days) $265.00
Froggies/Bumblebees (3 Days) $390.00
Froggies/Bumblebees (4 Days) $485.00
Froggies/Bumblebees (5 Days) $610.00
Dolphins $610.00
Lizards 9:00am - 1:15pm $745.00
Wednesday with Miss Lisa $0.00
Thursday with Miss Jane $130.00
Tadpoles/Froggie (2 Days) $265.00
Froggies/Bumblebees (3 Days) $390.00
Froggies/Bumblebees (4 Days) $485.00
Froggies/Bumblebees (5 Days) $610.00
Dolphins $610.00
Lizards 9:00am - 1:15pm $745.00

OTHER PROGRAMS OFFERED AT DECC
Please call the main office to make arragements
Pre and Post Care
(Payment is by the month and cost is $10 per hour)
Lunch Brunch
12:00 - 1:15pm
(Payment is by the month and cost is $10 per day)
Extended Days
1:15 - 3:15pm
(Payment is by the month and cost is $20 per day)

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