TIRS REGISTRATION FORM 2024-25

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:

STUDENT INFORMATION

* How many students are being registered?

STUDENT 1

* Student 1 - Current Status

* Student 1 - Grade Level

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 - Other allergy information

Student 1 - Does the student carry an Epi Pen?

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 - How does your child fair with new settings?

Quick to adapt to new settingsShy at first but warms quickly afterNeeds a couple sessions to adjustHas 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?

YesNo

Student 1 - If NO, please indicate where they attended prior to joining TIRS:

* Student 1 - Jewish Knowledge

Knows the Aleph Bet SongKnows major Jewish HolidaysCan identify the Hebrew letter ( up to 10 letters)Can decode Hebrew for readingKnowledge 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

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:

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 supportWiggle seat

Student 1 - Does your child require 1:1 support in school

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

Student 2 - Grade Level

Student 2 - First Name

Student 2 - Last Name

Student 2 - Date of Birth

* Student 2 - Hebrew Name

* Student 2 - Health Card Number

Student 2 - Other allergy information

Student 2 - Does the student carry an Epi Pen?

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 - How does your child fair with new settings?

Quick to adapt to new settingsShy at first but warms quickly afterNeeds a couple sessions to adjustHas 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?

YesNo

Student 2 - If NO, please indicate where they attended prior to joining TIRS:

* Student 2 - Jewish Knowledge

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

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:

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 supportWiggle seat

Student 2 - Does your child require 1:1 support in school

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

Student 3 - Grade Level

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 - Other allergy information

Student 3 - Does the student carry an Epi Pen?

* Student 3 - How does your child fair with new settings?

Quick to adapt to new settingsShy at first but warms quickly afterNeeds a couple sessions to adjustHas 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?

YesNo

Student 3 - If NO, please indicate where they attended prior to joining TIRS:

* Student 3 - Jewish Knowledge

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

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:

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 supportWiggle seat

Student 3 - Does your child require 1:1 support in school

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

* 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:

Joining the Programs for Young Families CommitteeJoining the School / Youth CommitteePlaying a musical instrumentSpecial arts such as calligraphyStorytelling

* Is there a second parent?

COMMUNICATION SHOULD BE WITH:

PARENT 2 INFORMATION

* Parent 2 - First Name

* Parent 2 - Last Name

* Parent 2 - Email

* Parent 2 - Mobile Phone

* Parent 2 - 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:

Joining the Programs for Young Families CommitteeJoining the School / Youth CommitteePlaying a musical instrumentSpecial arts such as calligraphyStorytelling

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.)

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.

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 TIRS2) 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 ONLYJFO 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

Sat, 21 December 2024 20 Kislev 5785

Temple Israel Ottawa
1301 Prince of Wales Drive
Ottawa, Ontario, Canada
K2C 1N2

Phone: 613.224.1802
School: 613.224.3133

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JEWISH FEDERATION OF OTTAWA
Temple Israel Religious School is a beneficiary agency of the Jewish Federation of Ottawa.

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