2020-21 Ketzev Registration Form 5781

IF YOU ARE A MEMBER, PLEASE LOGIN.

This will insure proper credit to your account. Login at the top right corner. If you are accessing this form through your phone, click the arrow at the top right corner. If you have never logged, then please click on "forget password" and it will prompt you to create password.

Shalom,

We are thrilled that your child(ren) will be participating in Ketzev this year!

During this time of sheltering-in-place and uncertainty regarding meeting in person and in large groups, we’re dividing our Ketzev curriculum, for students in kindergarten through grade 5, into Jewish studies and synagogue skills. In an ideal world, these two components would flow seamlessly from one to the other since both are necessary for a rich Jewish learning experience. We are not currently living in an ideal world, therefore, each will meet in separate sections and small group cohorts.

For Ketzev, the Jewish studies component will be comprised of five units, each focused on a different Jewish value. There will be a take-home kit of materials to enhance the experiential learning and bridge at-home activities with online group mifgashim (meetings).

The synagogue skills component will take place in small "hevruta-style" groups of approximately 5 students. These small groups will enable focused learning on Hebrew and prayer for short durations of time via zoom.

Jewish studies and Hebrew will require the students to do some work on their own from home in-between virtual sessions with their teachers and friends.

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

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. Currently, we plan to offer synchronized programming on the following days:

Ketzev will meet on Tuesdays and Thursdays between 3:30-5:30 (except for holidays)

September 8, 10, and 15

October 6, 8, 13, 15, 20, 22, 27, and 29 (no class October 1)

December 1, 3, 8, 10, 15, and 17

January 5, 7, 12, 14, 19, 21, 26, 28 (Tu Be’shvat program)

February 2, 4, 9, 11, 16, 18, and 23

March 2, 4, 9, 11, 16, 18, 23, 25, and 30

April 1, 13 (Yom HaZikaron), 15 (Yom Ha’Atzmaut), 20, 22, 27, and 29 (Lag Ba’Omer)

May 4, 6, 11, and 13
May 18 End of year Siyyum with Shavuot, day 2

We will also offer special programming for holidays throughout the school year and some special Shabbat experiences.

* Please select the number of kids

* 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

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

Child 3 - First Name

Child 3 - Last Name

Child 3 - Hebrew Name

Parents' Hebrew Names

Child 3 - Date of Birth

Child 3 - After sunset?

Child 3 - Student Phone Number (if applicable)

Child 3 - Student Email Address (if applicable)

Child 3 - Grade in School

Child 3 - Name of School

Emergency Contact Name and Number

Health Insurance Carrier

Health Insurance Member Number (child 1)

Health Insurance Member Number (child 2)

Health Insurance Member Number (child 3)

Name of Primary Doctor (Child 1)

Name of Primary Doctor (Child 2)

Name of Primary Doctor (Child 3)

Dr / Health Insurance contact number (Child 1)

Dr / Health Insurance contact number (Child 2)

Dr / Health Insurance contact number (Child 3)

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

Tuition:
$2,400 per child per year for non-members
$2,000 per child per year for Netivot Shalom members

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 $100 discount *
* Netivot Member total tuition after discount: $1,900
* Non-Member total tuition after discount: $2,300

* Please make your payment choice

Netivot Shalom Member Deposit of $200

Netivot Shalom Member Pay Full tuition now $1900 (Discount of $100)

Non-Member Deposit of $200

Non-Member Pay Full tuition now $2300 (Discount of $100)A non-refundable deposit of $200 due with registration. Your deposit will go towards your tuition payment.

SCHOLARSHIP DONATION

Tuition charges do not cover the full cost of our education programming. Please consider an additional 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 by February 2021.

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

Mon, October 25 2021 19 Cheshvan 5782