JEWISH LEARNING EXPERIENCES (JLE) at TVO

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REGISTRATION 2024-2025
Please fill out a separate form for each child.
If you are new to JLE, please contact info@tikkunvor.org before registering.

We welcome all Jewish students, regardless of the children's and parent(s)’ religious backgrounds,
ethnic identities, race, family configuration, gender identity and expression, or sexual orientation.
Family Jewish Learning Experiences is for children in kindergarten (gan) and first grade (kitah alef). This program meets monthly on Saturday mornings, for children and their caregivers.
Jewish Learning Experiences for students in second/third grade (kitah bet/gimel) meets on Sundays from 9-11 am.
Jewish Learning Experiences for children in fourth/fifth (kitah dalet/hey) and sixth/seventh grade (kitah vav/zayin) meets on Sundays from 9 am - noon.

Vav/Zayin also meets on Wednesdays from 4:30-6 pm.

Email *

Child's name *

Child's Hebrew name (if known)

Pronouns

She/Her

He/Him

They/Them

Other:

Date of Birth *

YYYY

Grade in Fall 2024 *

Kindergarten (gan)

First Grade (Kitah Alef)

Second (Kitah Bet)

Third (Kitah Gimel)

Fourth (Kitah Dalet)

Fifth (Kitah Hey)

Sixth (Kitah Vav) * 6th and 7th grade students are expected to attend on Sundays and Wednesdays

Seventh (Kitah Zayin) * 6th and 7th grade students are expected to attend on Sundays and Wednesdays

Other:

Required

School *

Name of Parent / Guardian / Caregiver #1 *

Address *

Cell Phone (or preferred phone number) *

Would you like to receive notifications by text? *

Yes

Required

Email Address *

Name of Parent / Guardian / Caregiver #2

Address (if different from above)

Cell Phone (or preferred phone number)

Would you like to receive notifications by text?

Yes

Clear selection

Email Address

If there are other responsible adults in household (stepparent, partner, adult sibling, etc) who should be noted for contact information, please list their name, relationship, and contact information:

Emergency Contact (other than parents / guardians / caregivers listed above): Name and Phone Number *

PERMISSION: Do we have permission to take photos of your child to use for JLE and temple remembrances and publicity? *

Yes

HEALTH CONCERNS: Does your child have any health conditions which might cause an emergency while at JLE? *

Allergies (medications? foods to avoid?)

Asthma (uses inhaler?)

Other

None

Please explain any health concerns marked above:

Does your child have any physical or learning impairments, challenges, or disabilities which might need special attention at JLE? Please explain: *

Vision difficulties (wears glasses, contacts, other?)

Hearing /speech impairment (needs hearing aid / seating arrangements?)

Reading disability / dyslexia

Other learning or emotional or developmental difficulties?

None

Does your child receive support services at public school? *

Yes

Please explain any learning concerns marked above:

I agree that my child has permission to participate in the Jewish Learning Experiences at TVO and I declare the following to be true: *

I certify that my child(ren) meet(s) all New York State vaccination requirements.

I will keep my child(ren) home if they: have a fever or have had one in the previous twenty-four (24) hours, are vomiting, or have had intestinal disturbance in the previous twenty-four (24) hours, have heavy nasal discharge or cough,have discharge from eyes, or have symptoms of a possible communicable disease.

I authorize the Director of Education, or a person designated by the Director Education, to obtain emergency medical care for my child(ren) in the event such care is indicated. I understand that every effort will be made to notify a parent/guardian prior to treatment.

Required

Is there anything else you would like us to know about your child or family? Please feel free to write a note below or contact naomi.wilensky@tikkunvor.org or 607-256-1471

Are you currently a member of Congregation Tikkun v'Or? *

Yes

Not yet

Required

TUITION: In the first year, JLE families with students in K-5 have the option of paying a slightly higher school rate, which includes temple membership. Any other temple membership dues are waived for that first year. All 6th and 7th grade / b’nai mitzvah student families must be dues-paying members in good standing. All fees from previous year must be paid in full to register for a new year. Partial Tuition Assistance is available through a grant from the Ithaca Area United Jewish Community (IAUJC). Please complete a Tuition Assistance form to apply for assistance. Contact info@tikkunvor.org for more information.

ANNUAL TUITION for JLE *

$250 Kindergarten and Grade 1 (gan/alef) TVO MEMBERS or:

$350 Kindergarten and Grade 1 (gan/alef) 1st year / membership dues waived

$400 Grades 2-3 (bet-gimel) TVO MEMBERS or:

$500 Grades 2-3 (bet-gimel) 1st year / membership dues waived

$500 Grades 4-5 (dalet-hey) TVO MEMBERS or:

$650 Grades 4-5 (dalet-hey) 1st year / membership dues waived

$700 Grades 6-7 (vav-zayin) TVO members (families must be dues-paying members for these grades).

$700 Additional fee for 7th grade Bmitzvah Instruction and Tutorial. (this must be paid at least one month before the bmitzvah service)

$_______ Optional: Donation for Yeladim Fund to support JLE

Other:

Required

Payment

A check has been sent to TVO, PO Box 3981, Ithaca NY 14852

Please bill me. Payments can be made in full or quartertly, or contact us if other arrangements need to be made.

A copy of your responses will be emailed to the address you provided.

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