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Religious School Registration

Welcome to another year at the Koven Religious School!  Please use this form to sign up your child(ren) for grades K-12.  Kindergarten and First Grade meet on Sundays from 9:30-12:00, grades 2-7 meet Sundays from 9:30-12:00 and Wednesdays from 4:30-6:30, Eighth Grade meets Sundays from 9:30-12:00 with the option of being a madrich on Wednesdays, and grades 9-12 meet Sundays from 9:30-12:00 on alternating weeks.  If your 9th-12th grader is interested in being a madrich (teacher’s assistant) on the weeks they don’t have class, please have them e-mail Principal David Schwartz at dschwartz@wsthz.org.
PARENT INFORMATION
If same as Parent 1, write “Same”
Include name, cell phone number, and relationship to student(s)

STUDENT INFORMATION
If none, put “None”.  If other food restrictions or medical issues, please indicate that also.
If none, put “None”.  If other food restrictions or medical issues, please indicate that also.
If none, put “None”.  If other food restrictions or medical issues, please indicate that also.
What learning challenges does your child have?  (Example: ADD/ADHD, Autism Spectrum, Learning Disability, Speech/Language Disability, Hearing Disability, Vision Disability beyond glasses, Emotional/Behavioral Disorder). If “none”, put “none”.  If your child has an IEP or 504 Plan, please e-mail a copy to David at dschwartz@wsthz.org - it will be kept confidential.
What learning challenges does your child have?  (Example: ADD/ADHD, Autism Spectrum, Learning Disability, Speech/Language Disability, Hearing Disability, Vision Disability beyond glasses, Emotional/Behavioral Disorder). If “none”, put “none”.  If your child has an IEP or 504 Plan, please e-mail a copy to David at dschwartz@wsthz.org - it will be kept confidential.
What learning challenges does your child have?  (Example: ADD/ADHD, Autism Spectrum, Learning Disability, Speech/Language Disability, Hearing Disability, Vision Disability beyond glasses, Emotional/Behavioral Disorder). If “none”, put “none”.  If your child has an IEP or 504 Plan, please e-mail a copy to David at dschwartz@wsthz.org - it will be kept confidential.
I acknowledge the following Har Zion photo release policy and will contact David Schwartz at dschwartz@wsthz.org if I want to opt out of this:


It is the practice of Har Zion to use photographs, videos, and quotations of youth involved in synagogue activities in its programs, publications, websites, and the social media of the synagogue for the purpose of promoting the synagogue and its programs.  No children will be identified by name in any photograph shared by Har Zion.

Har Zion may secure medical care for my child(ren) in the event of an emergency.
My child(ren) may participate in field trips with the Koven Religious School.
Please share anything else that will enable everybody to have the best year possible.

PAYMENT
Temple Har Zion does not want finances to be a barrier for anybody.  If you need confidential assistance, please submit, then choose “Bill to my account”, and then e-mail David at dschwartz@wsthz.org to discuss.
Wed, June 19 2019 16 Sivan 5779