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TIRS REGISTRATION FORM 2024-25
Please verify reCaptcha before submitting the form.
TIRS REGISTRATION FORM
2024-2025
TIRS WELCOMES ALL JEWISH and JEWISH + CHILDREN AND THEIR FAMILIES TO OUR SCHOOL.
THERE IS A NON-TEMPLE ISRAEL MEMBER FEE AS FOLLOWS:
*
$500 per family in addition to tuition if the family is not affiliated with an Ottawa synagogue
*
$250 per family that is a full member of another Ottawa synagogue.
***
Please note all registration must be completed online this year. Please fill this registration form out completely and submit your school fees
by August 31, 2024
.
TIRS requires a registration form and payment arrangements to admit a student to class. Please provide a recent photo of your child. It will be kept confidential and will be used for internal staff purposes only.
MEMBERSHIP STATUS
*
Please choose your current Membership Status:
Please Select One
Member of Temple Israel Ottawa
Affiliated with another Ottawa Synagogue
Not affiliated with any other synagogue
STUDENT INFORMATION
*
How many students are being registered?
Please Select One
One
Two
Three
STUDENT 1
*
Student 1 - Current Status
Please Select One
New to TIRS
Returning
*
Student 1 - Grade Level
Please Select One
JK - $1050 (9:30am - 12:30pm)
JK Extended Ivrit $1500 (9:30 - 1:30 pm)
SK - $1050
SK Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 1 - $1050
Grade 1 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 2 - $1050
Gr. 2 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 3 - $1050
Gr. 3 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 4 - $1050
Gr. 4 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 5 - $1050
Gr,5 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 6 - $1050
Gr. 6 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 7 - $1350
Grade 8 - $1100
Grade 9 - $1100
Grade 10 - $1100
Please note you may choose a 9:30am -12:30 pm program for JK-Gr.6 or an extended Hebrew (Ivrit) day from 9:30am- 1:30pm. Please note the program is the same until 12;30pm. The extra hour is additional Hebrew.
*
Student 1 - First Name
*
Student 1 - Last Name
*
Student 1 - Date of Birth
*
Student 1 - Hebrew Name
*
Student 1 - Health Card Number
Student 1 - Allergies
No known allergies
Food
Medicine
Insect Stings
Other
Student 1 - Other allergy information
Student 1 - Does the student carry an Epi Pen?
Please Select One
Yes
No
Student 1 - Please provide a current picture especially if your child has a severe allergy. If more than one of your children has an allergy or learning disability, etc. please indicate above.
*
Student 1 - Tell us some of their likes or dislikes.
Crafts/Colouring
Music/Singing
Outdoor Play
Building
Storytelling
*
Student 1 - How does your child fair with new settings?
Quick to adapt to new settings
Shy at first but warms quickly after
Needs a couple sessions to adjust
Has a difficult time and may need a parent in class for a period pf time
*
Student 1 - Is this your child’s first time experience Jewish Education outside your home?
Yes
No
Student 1 - If NO, please indicate where they attended prior to joining TIRS:
*
Student 1 - Jewish Knowledge
Knows the Aleph Bet Song
Knows major Jewish Holidays
Can identify the Hebrew letter ( up to 10 letters)
Can decode Hebrew for reading
Knowledge of Major Torah Stories (eg: Creation, Noah’s Ark)
Familiar with Jewish Object (e.g.: Mezuzah, Shofar, Torah)
Student 1 - Tell us a bit about your child, if they are new tell us what makes them special and unique. If your back! (Welcome back!) share with us any changes or highlights
*
Student 1 - Learning Profile
IEP (Independent Educational Plan)
Autism Spectrum
Speech/Language Disorder
LD (Learning Disability)
Sensory Processing Disorder
Familiar with Jewish Object (e.g.: Mezuzah, Shofar, Torah)
ADHD
Student 1 - Tell us a bit about your child and their learning styles. Any insight will help us provide a meaningful experience for your child. Please include preferences and tips,(ex: no crafts, sensitive to loud noises, responds to hands signals or touch)
Student 1 - Does your child have IEP, OT (Occupational Therapist), Report:
Please Select One
Yes
No
Student 1 - If YES, and you are comfortable sharing please attach reports to your registration submission. Reports will be kept confidential. If you ARE NOT comfortable sharing reports, please share some information with us to better support your child.
Student 1 - Please indicate whether your child would requires any of the supports below.
Fidget toys (ex: Poppers)
Compression Tube (Deep pressure/Proprioception system support)
Weighted Lap support
Wiggle seat
Student 1 - Does your child require 1:1 support in school
Please Select One
Yes
No
Student 1 - If YES, please indicate why your child would need 1:1, and if there is a Male/Female preference. PLEASE NOTE: We do not have certified EA’s as 1:1 support. Support team is made up of TA’s who may be in High School or University Age. TAs are supervised by a Teacher and the Principal.
STUDENT 2
Student 2 - Current Status
Please Select One
New to TIRS
Returning
Student 2 - Grade Level
Please Select One
JK - $1050 (9:30am - 12:30pm)
JK Extended Ivrit $1500 (9:30 - 1:30 pm)
SK - $1050
SK Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 1 - $1050
Grade 1 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 2 - $1050
Gr. 2 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 3 - $1050
Gr. 3 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 4 - $1050
Gr. 4 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 5 - $1050
Gr,5 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 6 - $1050
Gr. 6 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 7 - $1350
Grade 8 - $1100
Grade 9 - $1100
Grade 10 - $1100
Please note you may choose a 9:30am -12:30 pm program for JK-Gr.6 or an extended Hebrew (Ivrit) day from 9:30am- 1:30pm. Please note the program is the same until 12;30pm. The extra hour is additional Hebrew.
Student 2 - First Name
Student 2 - Last Name
Student 2 - Date of Birth
*
Student 2 - Hebrew Name
*
Student 2 - Health Card Number
Student 2 - Allergies
No known allergies
Food
Medicine
Insect Stings
Other
Student 2 - Other allergy information
Student 2 - Does the student carry an Epi Pen?
Please Select One
Yes
No
Student 2 - Please provide a current picture especially if your child has a severe allergy. If more than one of your children has an allergy or learning disability, etc. please indicate above.
*
Student 2 - Tell us some of their likes or dislikes.
Crafts/Colouring
Music/Singing
Outdoor Play
Building
Storytelling
*
Student 2 - How does your child fair with new settings?
Quick to adapt to new settings
Shy at first but warms quickly after
Needs a couple sessions to adjust
Has a difficult time and may need a parent in class for a period pf time
*
Student 2 - Is this your child’s first time experience Jewish Education outside your home?
Yes
No
Student 2 - If NO, please indicate where they attended prior to joining TIRS:
*
Student 2 - Jewish Knowledge
Knows the Aleph Bet Song
Knows major Jewish Holidays
Can identify the Hebrew letter ( up to 10 letters)
Can decode Hebrew for reading
Knowledge of Major Torah Stories (eg: Creation, Noah’s Ark)
Familiar with Jewish Object (e.g.: Mezuzah, Shofar, Torah)
Student 2 - Tell us a bit about your child, if they are new tell us what makes them special and unique. If your back! (Welcome back!) share with us any changes or highlights
*
Student 2 - Learning Profile
IEP (Independent Educational Plan)
Autism Spectrum
Speech/Language Disorder
LD (Learning Disability)
Sensory Processing Disorder
Familiar with Jewish Object (e.g.: Mezuzah, Shofar, Torah)
ADHD
Student 2 - Tell us a bit about your child and their learning styles. Any insight will help us provide a meaningful experience for your child. Please include preferences and tips,(ex: no crafts, sensitive to loud noises, responds to hands signals or touch)
Student 2 - Does your child have IEP, OT (Occupational Therapist), Report:
Please Select One
Yes
No
Student 2 - If YES, and you are comfortable sharing please attach reports to your registration submission. Reports will be kept confidential. If you ARE NOT comfortable sharing reports, please share some information with us to better support your child.
Student 2 - Please indicate whether your child would requires any of the supports below.
Fidget toys (ex: Poppers)
Compression Tube (Deep pressure/Proprioception system support)
Weighted Lap support
Wiggle seat
Student 2 - Does your child require 1:1 support in school
Please Select One
Yes
No
Student 2 - If YES, please indicate why your child would need 1:1, and if there is a Male/Female preference. PLEASE NOTE: We do not have certified EA’s as 1:1 support. Support team is made up of TA’s who may be in High School or University Age. TAs are supervised by a Teacher and the Principal.
STUDENT 3
Student 3 - Current Status
Please Select One
New to TIRS
Returning
Student 3 - Grade Level
Please Select One
JK - $1050 (9:30am - 12:30pm)
JK Extended Ivrit $1500 (9:30 - 1:30 pm)
SK - $1050
SK Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 1 - $1050
Grade 1 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 2 - $1050
Gr. 2 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 3 - $1050
Gr. 3 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 4 - $1050
Gr. 4 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 5 - $1050
Gr,5 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 6 - $1050
Gr. 6 Extended Ivrit $1500 (9:30 - 1:30 pm)
Grade 7 - $1350
Grade 8 - $1100
Grade 9 - $1100
Grade 10 - $1100
Please note you may choose a 9:30am -12:30 pm program for JK-Gr.6 or an extended Hebrew (Ivrit) day from 9:30am- 1:30pm. Please note the program is the same until 12;30pm. The extra hour is additional Hebrew.
Student 3 - First Name
Student 3 - Last Name
Student 3 - Date of Birth
*
Student 3 - Hebrew Name
*
Student 3 - Health Card Number
*
Student 3 - Date of Birth
*
Student 3 - Hebrew Name
*
Student 3 - Health Card Number
Student 3 - Please provide a current picture especially if your child has a severe allergy. If more than one of your children has an allergy or learning disability, etc. please indicate above.
Student 3 - Allergies
No known allergies
Food
Medicine
Insect Stings
Other
Student 3 - Other allergy information
Student 3 - Does the student carry an Epi Pen?
Please Select One
Yes
No
*
Student 3 - Tell us some of their likes or dislikes.
Crafts/Colouring
Music/Singing
Outdoor Play
Building
Storytelling
*
Student 3 - How does your child fair with new settings?
Quick to adapt to new settings
Shy at first but warms quickly after
Needs a couple sessions to adjust
Has a difficult time and may need a parent in class for a period pf time
*
Student 3 - Is this your child’s first time experience Jewish Education outside your home?
Yes
No
Student 3 - If NO, please indicate where they attended prior to joining TIRS:
*
Student 3 - Jewish Knowledge
Knows the Aleph Bet Song
Knows major Jewish Holidays
Can identify the Hebrew letter ( up to 10 letters)
Can decode Hebrew for reading
Knowledge of Major Torah Stories (eg: Creation, Noah’s Ark)
Familiar with Jewish Object (e.g.: Mezuzah, Shofar, Torah)
Student 3 - Tell us a bit about your child, if they are new tell us what makes them special and unique. If your back! (Welcome back!) share with us any changes or highlights
*
Student 3 - Learning Profile
IEP (Independent Educational Plan)
Autism Spectrum
Speech/Language Disorder
LD (Learning Disability)
Sensory Processing Disorder
Familiar with Jewish Object (e.g.: Mezuzah, Shofar, Torah)
ADHD
Student 3 - Tell us a bit about your child and their learning styles. Any insight will help us provide a meaningful experience for your child. Please include preferences and tips,(ex: no crafts, sensitive to loud noises, responds to hands signals or touch)
Student 3 - Does your child have IEP, OT (Occupational Therapist), Report:
Please Select One
Yes
No
Student 3 - If YES, and you are comfortable sharing please attach reports to your registration submission. Reports will be kept confidential. If you ARE NOT comfortable sharing reports, please share some information with us to better support your child.
Student 3 - Please indicate whether your child would requires any of the supports below.
Fidget toys (ex: Poppers)
Compression Tube (Deep pressure/Proprioception system support)
Weighted Lap support
Wiggle seat
Student 3 - Does your child require 1:1 support in school
Please Select One
Yes
No
Student 3 - If YES, please indicate why your child would need 1:1, and if there is a Male/Female preference. PLEASE NOTE: We do not have certified EA’s as 1:1 support. Support team is made up of TA’s who may be in High School or University Age. TAs are supervised by a Teacher and the Principal.
PARENT 1 INFORMATION
*
Parent 1 - First Name
*
Parent 1 - Last Name
*
Parent 1 - Email
*
Parent 1 - Mobile Phone
*
Parent 1 - Jewish/Non-Jewish
Please Select One
Jewish
Non-Jewish
*
Parent 1 - Home Phone
*
Parent 1 - Address
*
Parent 1 - City
*
Parent 1 - Province
*
Parent 1 - Postal Code
Parent 1 - Would you be able to lead or are you interested in:
Being a Class Parent / Ambassador
Cooking or baking
Fundraising
Helping to keep the TIRS Library in order
Israeli dancing
Joining the Programs for Young Families Committee
Joining the School / Youth Committee
Playing a musical instrument
Special arts such as calligraphy
Storytelling
*
Is there a second parent?
Please Select One
Yes
No
COMMUNICATION SHOULD BE WITH:
Please Select One
Parent 1
Parent 2
Both
PARENT 2 INFORMATION
*
Parent 2 - First Name
*
Parent 2 - Last Name
*
Parent 2 - Email
*
Parent 2 - Mobile Phone
*
Parent 2 - Jewish/Non-Jewish
Please Select One
Jewish
Non-Jewish
Parent 2 - Home Phone
if different from Parent 1
Parent 2 - Address
if different from Parent 1
Parent 2 - City
if different from Parent 1
Parent 2 - Province
if different from Parent 1
Parent 2 - Postal Code
if different from Parent 1
Parent 2 - Would you be able to lead or are you interested in:
Being a Class Parent / Ambassador
Cooking or baking
Fundraising
Helping to keep the TIRS Library in order
Israeli dancing
Joining the Programs for Young Families Committee
Joining the School / Youth Committee
Playing a musical instrument
Special arts such as calligraphy
Storytelling
EMERGENCY CONTACT INFORMATION
Contact 1 - Full Name
Contact 1 - Relationship
Contact 1 - Email Address
Contact 1 - Mobile Phone
Contact 2 - Full Name
Contact 2 - Relationship
Contact 2 - Email Address
Contact 2 - Mobile Phone
PERMISSION REQUESTS
1. I agree that pictures or videos of my child/children may be used to promote or advertise TIRS in print, on the website or through social media. (Their names will not be used.)
1. I agree that pictures or videos of my child/children may be used to promote or advertise TIRS in print, on the website or through social media. (Their names will not be used.)
2. I agree that a photo that includes my child may used internally for weekly communication.
2. I agree that a photo that includes my child may used internally for weekly communication.
3. I agree to share my email address for the Parent Directory.
3. I agree to share my email address for the Parent Directory.
4. I agree to be included in a carpool list that matches families by neighbourhood. Please check all that apply:
1) We would like to arrange a carpool to/from TIRS
2) We have room in our car to transport another child or children to/from TIRS
PAYMENT INFORMATION
Payments may be made in monthly installments (to a maximum of 10). Please make the first installment by September 1, 2024 and the last by May 31, 2025.
Tax receipts are issued for the amount paid in a calendar year.
Payment can be made by cash, ETransfer (to
bookkeeper@templeisraelottawa.com
), cheque (made out to Temple Israel), VISA or Master Card. (
NOTE: There is a 2.5% surcharge for using a credit card.)
Financial assistance is available in strict confidence to Raquel Black, Executive Director, at 613-224-1802 or
execdir@templeisraelottawa.com
.
JFO Incentive Program- NEW FAMILIES TO TIRS ONLY
JFO Incentive Program- NEW FAMILIES TO TIRS ONLY
JFO Tuition Incentive Program- By checking the box below, TiRS will be applying for this incentive on your behalf.
*This program is offered exclusively to new families to TiRS
First child receives $500 subsidy
Second child receives $250 subsidy
Third child receives $125
Tuition Total
Wed, 20 November 2024 19 Cheshvan 5785