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Tot Playgroup Registration 2019-20

2019-2020 Tot Playgroup Registration

Welcome to our Friday afternoon Tot Playgroup! We're looking forward to helping your child grow their Jewish roots and meet other children and families. Please log in to our website (click at the top right) and then fill out this form in full. Logging in will allow parts of the form to autofill. A copy of this information will be sent to you upon submission.

PARENT INFORMATION

PARENT 1

This is the email to which the confirmation will be sent.
If you have an update to your account address, please change your information here.

PARENT 2 (if applicable)

OTHER ADULTS/CAREGIVERS

Please enter the information of other adults or caregivers who may accompany your child to the Tot Playgroup.

CHILD INFORMATION

Children of all ages are welcome at the Tot Playgroup. Children who are not toilet trained must be accompanied by a parent or caregiver.
Children who are toilet trained may participate in the Tot Playgroup without an adult accompanying them.
This may include learning difficulties, emotional or family issues, food restrictions or allergies, etc. The Religious School Director will follow up to discuss ways we can help your child thrive.

EMERGENCY CONTACT

In case of injury or illness, every effort will be made to contact the parent(s)/guardian(s). Please provide an additional contact in the event that the parent(s)/guardian(s) cannot be reached.

BRIT KAVOD (HONOR COVENANT) AND RELEASE FORM

A brit ("breet") is a covenant. We ask parents to read through this section and enter into a brit, a covenant, with their child(ren), with other families, and with our Shoresh community to bring kavod (respect) and shalom (peace) to Shoresh and KAM Isaiah Israel each week. 

AS A LEARNER, I agree that I will: 
  • Remember that Shoresh and KAM Isaiah Israel is a place of worship and learning.
  • Be respectful of our building and everything in and around it. Therefore I will not litter, deface, or damage anything.
  • Be respectful of everyone in our community: 
    • I will respect my peers by paying attention when others are speaking, using kind language and manners, keeping my hands and body to myself, not using anything that does not belong to me, not putting down others, and listening to others’ opinions.
    • I will respect my teachers by following the class expectations, listening while the teacher is talking, and doing what is asked of me at Shoresh.
  • Be respectful of myself by always being safety conscious. I will not run, climb, play wildly, or throw anything (except as appropriate in designated areas).
  • I will not treat others in ways in which I do not want to be treated. 
AS PARENT(S), I/we will: 
  • Share responsibility for our child as a learner who is learning how to become a part of the Jewish people, by approaching our child’s exploration of our heritage and trying to make meaning of it as a family endeavor and responsibility. 
  • Share responsibility for the other learners and the teachers sharing in our learning experience by helping our child to be prepared for class, arriving on time, participating in Shoresh activities, and reinforcing Jewish values at home. We will share with Shoresh the responsibility of monitoring our child’s progress. 
AS A SCHOOL, we will: 
  • Strive to treat every child with respect, compassion, and active interest 
  • Do our best to teach Jewish values, tradition, and knowledge 
  • Incorporate all learning styles and abilities whenever possible 
  • Reinforce the terms laid out in the inclusion policy 
We have read the Brit Kavod/honor covenant and discussed it with our family. We understand that by attending Shoresh and the Tot Playgroup we are agreeing to the terms of the Brit Kavod/honor covenant.
By typing your name, you agree to enter in to this brit ("breet"), this covenant, with Shoresh during the Tot Playgroup this school year.

Release form
  1. In the event that we/I cannot be reached in an emergency, I/we authorize a KAM Isaiah Israel representative to seek medical attention for my children.
  2. I give permission for photos and videos of my children to be used for publicity purposes, including but not limited to KAM Isaiah Israel emails, website, and social media.
  3. I release KAM Isaiah Israel Congregation, its trustees, officers, employees, agents, and all other persons participating in our chaperoning such field trip from all claims which I or my children may have for personal injuries (or emergency medical care related to such injuries), known or unknown, which my children may incur by participating in such activity.
By typing your name, you agree to the release form terms above during the 2019-2020 school year.

SUPPORT

Jewish identity is an investment in the Jewish future. The Tot Playgroup is supported by KAM Isaiah Israel members. We encourage all families to become members of the congregation, though membership is not required to participate in the playgroup.
If you would like to make an optional tax-deductible donation to support this program, please enter the amount above.
Sat, September 21 2019 21 Elul 5779