2021-22 TAG Registration Form 5782 - Form - Congregation Netivot Shalom

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Shalom,

We are thrilled that your child(ren) will join the TAG journey this year!

Congregation Netivot Shalom has launched not just one new path but many paths (netivot) toward youth and family education! These paths will lead you through a variety of topics with varying ways of learning. Just as on any path, you can go quickly on your journey, or you may take your time. When you reach the end of each path, you will earn a badge. This is a “choose your own adventure” form of Jewish learning.

Jewish studies, Hebrew, and Synagogue Skills become the components of each badge requirement. We will also offer small Hebrew "hevruta-style" groups of approximately 5 students via Zoom. These small groups will enable focused learning on Hebrew and prayer for short durations of time via zoom.

Primary participation in TAG is on Shabbat mornings during the school year. For a complete TAG experience, we encourage families to also attend Friday afternoons where students will continue their learning and engage in arts, crafts, cooking, and more!

If you have any questions, please contact Rebecca Goodman, Youth & Family Education Director, rebecca@netivotshalom.org

TAG Schedule 2021-2022

TAG will meet on Saturday mornings, 10:00-12:00 (subject to change/expand as we return to in person Shabbat morning programming for the congregation)
TAG will meet on Friday afternoons, 2:30/3:30-5:30

First day: August 20, 2021
Final day: May 21, 2022

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

* Please select the number of children you are enrolling:

* 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

TAG Participation:
$180 TAG Program Enrollment (required, one per child, per year)

Friday Afternoon Tuition:
FULL YEAR 2:30-5:30pm (3 hours); 36 sessions = $1800
FULL YEAR 3:30-5:30pm (2 hours); 36 sessions = $1200

HALF YEAR 2:30-5:30pm (3 hours); 18 sessions = $1080
HALF YEAR 3:30-5:30pm (2 hours); 18 sessions = $720

If you are not a member of Congregation Netivot Shalom, please contact Rebecca Goodman, Youth and Family Education Director to make arrangements.

ENROLLMENT IN TAG - CHILD 1

TAG-enrollment-2021-2022A non-refundable deposit of $180 is due with registration. Your deposit covers the required TAG program enrollment fee.

PLEASE SELECT TAG PROGRAM - CHILD 1

FULL YEAR 2:30-5:30pm (3 hours): 36 sessionsFULL YEAR 3:30-5:30pm (2 hours): 36 sessions1st HALF YEAR 2:30-5:30pm (3 hours): 18 sessions1st HALF YEAR 3:30-5:30pm (2 hours): 18 sessions2nd HALF YEAR 2:30-5:30pm (3 hours): 18 sessions2nd HALF YEAR 3:30-5:30pm (2 hours): 18 sessionsSaturday-only (no additional fee)

SCHOLARSHIP DONATION - CHILD 1

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.

Please add an additional donation to the Youth Education Fund.

ENROLLMENT IN TAG - CHILD 2

TAG-enrollment-2021-2022A non-refundable deposit of $180 is due with registration. Your deposit covers the required TAG program enrollment fee.

PLEASE SELECT TAG PROGRAM - CHILD 2

SCHOLARSHIP DONATION - CHILD 2

ENROLLMENT IN TAG - CHILD 3

TAG-enrollment-2021-2022A non-refundable deposit of $180 is due with registration. Your deposit covers the required TAG program enrollment fee.

PLEASE SELECT TAG PROGRAM - CHILD 3

SCHOLARSHIP DONATION - CHILD 3

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

Students are enrolled and contracted for the time period from August 20, 2021 through May 27, 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 2022.

Netivot Shalom reserves the right to void this contract at the discretion of the Rabbi in consultation with the Executive Director. In such instances, the unused portion of any prepaid fees may or may not be refunded.

* By checking this box and putting my name in the signature box below, "I agree" that I understand and accept the parameters for participating in the TAG program at Netivot Shalom.

By checking this box and putting my name in the signature box below, "I agree" that I understand and accept the parameters for participating in the TAG program at Netivot Shalom.

Check this box if you want a call to discuss family circumstances, such as two-household parents, custody, or finances - with the Executive Director.Check this box if you want a call to discuss any accommodations we can make to the learning environment to help your child - with the Youth & Family Education Director.

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