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Merkaz Limud & JTL Registration Form 20-21

Merkaz Limud & JTL Registration 20-21
Sunday classes begin October 4, 2020
Monday classes begin October 5, 2020
Parent Information

Grandparent Information

Student #1 Information
The following information will be held in the strictest of confidence. You are welcome to make an appointment with Noemi Gozlan to discuss any item at length. If you desire such an appointment, please email religiousschool@templebethemet.org 
Student #1: Does your child receive or has he/she received any of the following services?

Student #2 Information
The following information will be held in the strictest of confidence. You are welcome to make an appointment with Noemi Gozlan to discuss any item at length. If you desire such an appointment, please email religiousschool@templebethemet.org 
Student #2: Does your child receive or has he/she received any of the following services?

Student #3 Information
The following information will be held in the strictest of confidence. You are welcome to make an appointment with Noemi Gozlan to discuss any item at length. If you desire such an appointment, please email religiousschool@templebethemet.org 
Student #3: Does your child receive or has he/she received any of the following services?

Emergency Contacts
Include the following information:
Name of Insured
Name of Insurance Company
Policy #
Include the following information:
Doctor Name & Phone Number

Authorization for Emergency Medical - Surgical Treatment
It is the firm hope that the authorization granted on this form will never have to be used. For the safety of your child, however, sound medical practice calls for such authorization. In emergency situations where the parent of the child cannot be contacted immediately, this form may become extremely important. The authorization granted by this form will be used only where absolutely necessary and only after every attempt has been made to contact the parents. Doctors and hospitals refuse to give any treatment, regardless of how minor, unless they have authorization from the parents.
IN THE EVENT I CANNOT BE REACHED, I HEREBY GRANT PERMISSION TO THE PHYSICIAN OR HOSPITAL SELECTED BY THE TEMPLE TO HOSPITALIZE, SECURE PROPER TREATMENT, ORDER INJECTION, ANESTHESIA, OR PERFORM SURGERY FOR MY CHILD. 

Class Schedule Preference
The safety of our families and staff are our number one priority. Families will need to be flexible during these uncertain times. Please keep an open mind when choosing your class preference. Based on current and changing CDC guidelines, TBE guidelines and health concerns, we may have to change schedules. 

PreK - 6th Grade Options
  • Option A: Sunday (on-site) 9:00 am-12:30 pm (PreK-6th grade)
  • Option B: Monday (on-site) 4:00-7:30 pm (3rd - 5th grade) 
  • Option C: Monday (on-site) 4:15-7:30 pm (6th grade) 
  • Option D: Sunday/Wednesday (distance learning) : Sunday 2 hrs - time TBD and Wednesday 5:00-6:30 pm (PreK-6th grade)
7th Grade Options
*Please note, every 7th grade student, regardless of their Bar/Bat Mitzvah date, is required to be registered and attend a 7th grade Judaica & Hebrew class. 
  • Option E: Sunday (on-site) 9:00-11:30 am (includes Hebrew & Judaica classes)
  • Option F: Monday Judaica (on-site) 6:30-8:00 pm, Sunday Hebrew (on-site) 9:00-10:00 am 
  • Option G: Monday Judaica (on-site) 6:30-8:00 pm, Sunday Hebrew (on-site) 10:00-11:00 am 
  • Option H: Monday (on-site) 5:00-8:00 pm (includes Hebrew & Judaica classes)
  • Option I: We would prefer a distance learning option for Hebrew and Judaica
8th-9th Grade Options
  • Option J:  Monday (on-site) 6:30-8:00 pm 
  • Option K: We would prefer a distance learning option for 8th-9th grade
STUDENT CLASS CHOICES:


TBE Membership & Merkaz Limud/JTL Fee Schedule 2020-2021

Annual Membership Commitment Categories

Family Membership - $2100 (2 adults with at least 1 child in K - 12th grade)
Single Parent Membership - $1600 (1 adult with at least 1 child in Kindergarten - 12th grade)
Special Dues Membership - If you need financial assistance for your dues please contact Laura Goodman, laura@templebethemet.org or 954-680-1882

 Merkaz Limud & JTL FEES    *(Fees are Per Child with exception of security fee which is per family)
*Pay with ACH, receive $25 discount from tuition only
*$300 Deposit required with each application and is non-refundable
(deposit covers registration fee and materials & program fee)

PreK - 2nd grade

Tuition

$750

Registration Fee

$50

Materials & Program Fee

$250

Security Fee

$250

3rd - 7th grade

Tuition

$960

Registration Fee

$50

Materials & Program Fee

$250

Security Fee

$250

8th - 9th grade

Tuition

$690

Registration Fee

$50

Materials & Program Fee

$250

Security Fee

$250


Registration & Financial Policy
  • We will have a health screening process in place as children and staff enter our campus.
  • Parents will not be permitted to come into the classrooms.
  • Merkaz Limud/JTL classes will be limited in size. 
  • Membership is required to be enrolled in Merkaz Limud/JTL.
  •  A NON-REFUNDABLE Deposit of $300 which includes (Registration Fee & Material Program fee)  is due upon enrollment of each student. 
  • There is a $250 Security Service Fee per family.
  • All Membership and Merkaz Limud/JTL fees must be paid in full by April 1, 2021.
Payment Agreement
*Registration will be processed ONLY upon full completion of Payment Agreement.
Deposit is due upon receipt of registration form. 

ACH Payment Information (No changes may be made within 10 business days of payment)
Credit Card Payment Information
Mon, September 21 2020 3 Tishrei 5781