Kulanu Form for Non-Members 2023-2024

This Form is for Non-Temple Members Only.

- Members of Temple Israel of Great Neck must register through their member portal by signing into their account and clicking "Start School Enrollment" on the "My Account," page.

- Members of Temple Beth-El must register through the link sent to them by Temple Beth-El.

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This form is to register for Kulanu Religious School in the 2023-2024 school year.

Please fill out all information fields below. More fields will become available once the original fields are completed.

Once your enrollment is received, it must be approved by the Kulanu Religious School staff. You will receive an email when this has been completed.

* Parent/Guardian 1 - First Name

* Parent/Guardian 1 - Last Name

* Parent/Guardian 1 - Email

* Parent/Guardian 1 - Mobile Phone

* Parent/Guardian 1 - Address

* Parent/Guardian 1 - City

* Parent/Guardian 1 - State

* Parent/Guardian 1 - Zip Code

Parent/Guardian 1 - Home Phone

* Is there a second parent/guardian?

* Parent/Guardian 2 - First Name

* Parent/Guardian 2 - Last Name

* Parent/Guardian 2 - Email

* Parent/Guardian 2 - Mobile Phone

* Does the second parent/guardian live at the same address as parent/guardian 1?

* Parent/Guardian 2 - Address

* Parent/Guardian 2 - City

* Parent/Guardian 2 - State

* Parent/Guardian 2 - Zip Code

Parent/Guardian 2 - Home Phone

* How many students are you registering for Kulanu for the 2023-2024 school year?

Student 1 - First Name

Student 1 - Last Name

Student 1 - Gender

Student 1 - Hebrew Name

Student 1 - Birthdate

Student 1 - Grade as of September 2023

Student 1 - IEP

Does he/she have an IEP or special arrangements in Public School?

Student 1 - Allergies

Does this child have any allergies, medications, or food restrictions we should be aware of?

Student 2 - First Name

Student 2 - Last Name

Student 2 - Gender

Student 2 - Hebrew Name

Student 2 - Birthdate

Student 2 - Grade as of September 2023

Student 2 - IEP

Does he/she have an IEP or special arrangements in Public School?

Student 2 - Allergies

Does this child have any allergies, medications, or food restrictions we should be aware of?

Student 3 - First Name

Student 3 - Last Name

Student 3 - Gender

Student 3 - Hebrew Name

Student 3 - Birthdate

Student 3 - Grade as of September 2023

Student 3 - IEP

Does he/she have an IEP or special arrangements in Public School?

Student 3 - Allergies

Does this child have any allergies, medications, or food restrictions we should be aware of?

Student 4 - First Name

Student 4 - Last Name

Student 4 - Gender

Student 4 - Hebrew Name

Student 4 - Birthdate

Student 4 - Grade as of September 2023

Student 4 - IEP

Does he/she have an IEP or special arrangements in Public School?

Student 4 - Allergies

Does this child have any allergies, medications, or food restrictions we should be aware of?

* Photo Waiver

Photo WaiverI give Temple Israel permission to use photos of my child(ren) in its publicity such as in the Voice, on the TIGN website, in local newspapers, etc.

Emergency Contact 1 - Name

In the event that we cannot contact you, what is the name of your family's emergency contact?

Emergency Contact 1 - Primary Phone

What is the first phone number we should try for this person if we cannot contact you?

Emergency Contact 1 - Alternate Phone

What is the alternate phone number, if any, for this contact?

Would you like to contribute towards the Religious School Scholarship Fund?

The Religious School Scholarship Fund helps families in need who might not otherwise be able to afford a Hebrew education for their children. Any amount is helpful.

Would you like to donate to our Parent Association?

Tuition alone only covers part of the costs of operating our Religious School. Support provided by the Religious School Parent's Association underwrites the costs of equipment, programs, and "special touches" for things which the budget doesn't allow us to address. Your PA dues truly enhance the quality and richness of our wonderful school! Thank you so much.

Fri, December 1 2023 18 Kislev 5784