2022-23 TAG Registration 5783 - 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's TAG program offers not just one 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 are components of each badge requirement.

TAG meets on Shabbat mornings during the school year and with advance registration on Friday afternoons where we will 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 2022-2023

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

First day: September 9/10, 2022
Final day: May 20, 2023

We will also offer special programming for holidays throughout the school year, special Kabbalat Shabbat experiences, and Havdalah game nights.

* 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)

Shabbat Morning Tuition:
Shabbat Morning Tuition is included with your membership dues. Please consider making a donation below to help off-set the cost of this program.

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

HALF YEAR 2:30-5:30pm (3 hours) = $1080
HALF YEAR 3:30-5:30pm (2 hours) = $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-2022-2023A 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-2022-2023A 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-2022-2023A 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 September 9, 2022 through May 20, 2023. 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 2023.

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.Check this box if you DO NOT grant permission to Netivot Shalom to use the registered child(ren)'s photograph/video in conjunction with marketing, publicity and advertising on behalf of Netivot Shalom. In addition, I will hold Netivot Shalom harmless for

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