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Religious School Registration Form: 2016-17

This form is for Temple Israel member families enrolling children in Temple Israel Religious School. If you are not a member, please contact Laura Robbins, Director of Membership, at 314-432-8050. 

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.
Parent/Guardian Contact #1

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.

Parent/Guardian Contact #2

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 complete this section if parents are divorced/separated




Emergency Contact (in addition to parents/guardians)
Student Information - Child #1

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.

If applicable.

Please inform us as to whether they sing or play a musical instrument.

Yes
No
Yes
No
Student Information - Child #2

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.

If applicable.

Please inform us as to whether they sing or play a musical instrument.

Yes
No
Yes
No
Student Information - Child #3

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.

If applicable.

Please inform us as to whether they sing or play a musical instrument.

Yes
No
Yes
No
Waiver and Permissions: REQUIRED

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.


Field Trip Authorization I hereby authorize my child to go on field trips scheduled by the Religious school in conjunction with the programs for which my child is registered. Temple Israel Religious School may transport my child on field trips by whatever means it deems appropriate. The undersigned hereby releases and forever discharges Temple Israel, its agents, designees, and employees from any and all claims, actions, or causes of actions resulting from sickness or accidental injury. It is clearly understood that no smoking, alcohol, or drugs other than those prescribed by a licensed physician will be permitted on any trip. It is also understood that in the event of behavior unacceptable to the staff, parents will be notified and the child will be sent home at the parents’ expense.


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 [email protected] .


Volunteer Sign Up Form

We need your help! There are so many wonderful things going on that we need a few good hands to help us develop and deliver. If you are interested in helping – a little or a lot – please let us know!



Student Grade(s) & Fee(s)
Grade K $300.00
Grade 1 and 2 $325.00
Grade 3 - 6 (Includes Tues. Hebrew School & TIRS) $700.00
Grade 7 - 9 and 11 - 12 $325.00
Grade 10 $525.00
Grade K $300.00
Grade 1 and 2 $325.00
Grade 3 - 6 (Includes Tues. Hebrew School & TIRS) $700.00
Grade 7 - 9 and 11 - 12 $325.00
Grade 10 $525.00
Grade K $300.00
Grade 1 and 2 $325.00
Grade 3 - 6 (Includes Tues. Hebrew School & TIRS) $700.00
Grade 7 - 9 and 11 - 12 $325.00
Grade 10 $525.00

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

  

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Total:   

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