2020-21 Amitim Registration Form

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Shalom,

We are thrilled that your child(ren) will be participating in Amitim! This is a two-year Jewish-life training program. While building this community cohort, students will learn the meanings and how to lead prayers for Shabbat morning, Jewish traditions and Jewish values for making life choices. Some students will learn trope in Amitim. Many families will also hire a tutor to help with a student's specific Torah leyning and to polish prayers. Tuition includes meetings with the Rabbi to plan the ceremony and to write the student's drash. It also includes High Holiday and special Amitim holiday celebrations. Many families will work additionally with a tutor or a mentor.

Thank you for filling this registration form in full and submitting a deposit. Most years, we meet regularly in person. As we create this registration form in 2020, we are sheltering in place. We will keep you posted as the summer unfolds about plans for Amitim in this coming year. We may amend timing, tuition, or how we train our students. We hope to meet in person, but will keep you posted if that will not happen in September.

In order to celebrate a bar or bat mitzvah at Congregation Netivot Shalom, one must be halachically Jewish, as defined by the Conservative Movement (meaning born to a Jewish mother or converted) and must be a current member of the congregation.

If you have any questions, please contact the Youth & Family Education Director, yfed@netivotshalom.org

By clicking this box, I understand and accept the parameters for participating in Amitim and for celebrating a bar or bat mitzvah with the congregation.Check this box if you want a call to discuss family circumstances, such as two-household parents, custody, finances. Or if your child has learning challenges and you want to talk with the Youth & Family Education Director or the Administrator.

This calendar may be amended, depending on the Shelter In Place orders. As of its creation, we hope to run a full program.

Amitim will meet on Tuesdays 4:30-6:30 (except for holidays)
STARTS: September 8, 2020
ENDS: May 18, 2021 (Year two will end in May 2022)

September    8, 15, 22, 29 (Rosh Hashanah falls on Sept 19 and 20, 2020)
October       6, 13, 20, 27
November   3, 10, 17 (Thanksgiving break November 23-27th)
December   1, 8, 15 (Winter break December 21st - Jan. 1st)
January       5, 12, 19, 26
February   2, 9, 16, 23
March       2, 9, 16, 23, 30
April       13, 20, 27 (Spring/ Passover break April 5th - 9th)
May       4, 11, 18- End of year Siyyum!

In addition to our Tuesday classes, Amitim students will also join together for Torah study one shabbat/month and will have a special track for the High Holidays.

* Child 1 - First Name

* Child 1 - Last Name

Child 1 - Hebrew Name

Parents' Hebrew Names

* Child 1 - Date of Birth

* Child 1 - After sunset?

Child 1 - Student Phone Number (if applicable)

Child 1 - Student Email Address (if applicable)

Child 1 - Grade in School

* Child 1 - Name of School

Health Insurance Carrier

Health Insurance Member Number (child 1)

Health Insurance Member Number (child 2)

Name of Primary Doctor

Dr / Health Insurance contact number

Emergency Contact Name and Number

Adult 1

* First Name - Parent/Guardian #1

* Last Name - Parent/Guardian #1

Hebrew Name - Parent/Guardian #1

Work Phone - Parent/Guardian #1

Home Phone - Parent/Guardian #1

* Cell Phone - Parent/Guardian #1

* Email - Parent/Guardian #1

* Home Address - Parent/Guardian #1

* City - Parent/Guardian #1

* State - Parent/Guardian #1

* Zip Code - Parent/Guardian #1

First Name - Parent/Guardian #2

Last Name - Parent/Guardian #2

Hebrew Name - Parent/Guardian #2

Work Phone - Parent/Guardian #2

Home Phone - Parent/Guardian #2

Cell Phone - Parent/Guardian #2

Email - Parent/Guardian #2

Home Address IF DIFFERENT - Parent/ Guardian #2

City - Parent/ Guardian #2

State - Parent/ Guardian #2

Zip - Parent/ Guardian #2

Child 2 - First Name

Child 2 - Last Name

Child 2 - Hebrew Name

Parents' Hebrew Names

Child 2 - Date of Birth

Child 2 - After sunset?

Child 2 - Student Phone Number (if applicable)

Child 2 - Student Email (if applicable)

Child 2 - Grade in School

Child 2 - Name of School

Tuition: $3,600 for 2 program years.

Tuition payment must be complete by the time of your child's bar or bat mitzvah ceremony.

A non-refundable deposit of $200 due with this registration and will go towards your tuition payment.

You have an option to set up a payment schedule. If you prefer to pay by check, mail it to the office. We do not currently have a way to bring a payment in person.

Payment in full at registration qualifies for a $200 discount (total tuition after discount: $3,400)

* Please make your payment choice

Please Select OneDeposit of $200Pay Full tuition now $3400 (Discount of $200)A non-refundable deposit of $200 due with registration. Your deposit will go towards your tuition payment.

SCHOLARSHIP DONATION

In addition to my child’s tuition, I would like to make a donation to support Jewish learning for youth at CNS. My payment will include an additional donation to the Youth Education Fund

* Agreement

I agreeI will contact the Youth and Family Education Director at yfed@netivotshalom.org to discuss any concerns.

Agreement for participation in Congregation Netivot Shalom's Religious School:

Students are enrolled and contracted for the time period from September 8, 2020 through May 20, 2022. By completing this registration and making a deposit, I understand that my family is responsible for the entire tuition and that it will be paid in full before my child celebrates their bar/bat mitzvah.

Netivot Shalom reserves the right to void this contract at the discretion of the Rabbi in consultation with the Administrator. In such instances, the unused portion of any prepaid fees may be refunded.

By clicking the "I agree" button and putting your name in the signature box, you agree to these terms.

Total

Wed, September 28 2022 3 Tishrei 5783