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2019-2020 Religious School Registration


Please register your student(s) in grades K - 7 for the 2019 - 2020 school year, below. For students in grades 8 - 12, please visit www.tiwestport.org/teen-collective

Grade as of September, 2019. Select grade / class choice. You may amend your choice during the summer.

If not applicable, please indicate N/A
If your child does take any medications, please describe the medication and what it is used for.

Grade as of September, 2019. Select grade / class choice. You may amend your choice during the summer.

If not applicable, please indicate N/A
If your child does take any medications, please describe the medication and what it is used for.

Grade as of September, 2019. Select grade / class choice. You may amend your choice during the summer.

If not applicable, please indicate N/A
If your child does take any medications, please describe the medication and what it is used for.

Parent/Guardian 1

Parent/Guardian 2

If parents are not living together, it is our practice to communicate with both parents unless a different arrangement is requested in writing.

Temple Israel agrees to take reasonable measures for the protection of the health of each child. However, it assumes no risk for injuries, accidents and/or sickness incurred or received by any child whether directly or indirectly while attending school, school trips and youth group events or under faculty supervision. I agree to release and hold harmless Temple Israel, its trustees and employees from any and all claims that may arise as a result of any injury, loss or damages incurred by me or my family. In the event of any medical emergency or accident, the Temple Israel Religious School or Youth Program staff reserves the right to move your child to an appropriate hospital. I hereby authorize such physicians or emergency facility to treat my child in any emergency situation until such time as I can be reached for specific permission.

By signing here, I agree to the terms and conditions listed above regarding responsibility and emergency medical procedures.

Temple Israel has my permission to use any photos or videos of Religious School or youth group activities in which my child may appear in the representation of its school and youth programs to the community.

Account Details

Enter your name and e-mail address for your confirmation

Payment Information

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