Religious School Registration 2021-2022
4 Years Old - 8th Grade
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Parent/Guardian 1      Last, First, M.I.
Home Phone  /  Cell Phone  /  Email  
Employer  /  Work Phone
Parent/Guardian 2      Last, First, M.I.
Home Phone  /  Cell Phone  /  Email  
Employer  /  Work Phone
Are parents divorced or separated?
Non-Custodial Parent's Name:
Should both parties receive all mailings regarding child(ren)?
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Student's Name 1 (Last/First/Middle) / Hebrew Name (Transliterated) / M or F / DOB / Grade in Fall 2021 / Graduation Year / Name of School
Student's Name 2 (Last/First/Middle) / Hebrew Name (Transliterated) / M or F / DOB / Grade in Fall 2021 / Graduation Year / Name of School
Student's Name 3 (Last/First/Middle) / Hebrew Name (Transliterated) / M or F / DOB / Grade in Fall 2021 / Graduation Year / Name of School
Student's Name 4 (Last/First/Middle) / Hebrew Name (Transliterated) / M or F / DOB / Grade in Fall 2021 / Graduation Year / Name of School
Please mark the following sections to which the student/s will be attending.
Emergency Medical Care Section / I the undersigned, parent/guardian of my minor child, who while in the care, custody and control of Temple Mount Sinai (“TMS”) do hereby authorize TMS and its employees or agents to administer first aid treatment and/or to obtain necessary emergency medical care for my child from a licensed physician/surgeon or from a hospital or other medical facility should any medical emergency arise while my child is in the custody of TMS. I hereby give my consent and permit TMS to allow a health care provider to conduct X-ray examination(s), anesthetic, medical or surgical treatment, and hospital care required for my child, which is deemed necessary and appropriate by a licensed physician/surgeon at a hospital or at a medical facility, as a result of any medical emergency which arises while my child is in the custody of TMS.  The foregoing care also covers emergency medical transportation by a governmental or private transportation service to transport my child to obtain medical series.  I understand the cost of all such care will be paid by me, and shall not be the responsibility of TMS. It is understood that this authorization is given in advance of any specific diagnosis, treatment, or hospital care being required, but is given to provide authority and power on the part of TMS to give specific consent to any and all         necessary emergency medical care for my child which the said physician/surgeon, in the exercise of his best judgment, may deem necessary.
I understand that a conscientious effort will be made to contact me, or one of the people I have designated below, in the event of an emergency, if we can be reached and if time permits. If TMS is unable to contact me, please contact one of the persons listed below. Type two Emengency Contact people with their phone number.
This Emergency Medical Care Authorization shall begin on August 2021 and remains effective until May 2022.        Type Physician's Name / Phone #
Insurance Company / Group Number / Member Name / Member ID Number
E-Signature / Date
Photo Release Section / I hereby grant Temple Mount Sinai ("TMS") permission to use my likeness and the likeness of any minor child for whom I am completing this form, in a photograph, video, or other digital media ("photo") in any and all of its publications, including web-based publications, without payment or other consideration. I further irrevocably authorize TMS to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose provided such use is tasteful and consistent with the values of TMS. I waive any right to inspect or approve the finished photo or items containing same wherein my likeness appears, and agree that same may not be and shall not be returned to me. I acknowledge that any copyright associated with a photo shall belong to TMS.
Field Trip Permission / A variety of field trips will be planned by Temple Mount Sinai ("TMS") for your child to participate in during the TMS school year. If your child has permission to accompany his/her classmates on all field trips, please agree to this section. In agreeing to this section you are acknowledging that your child may accompany his/her classmates on TMS arranged in-town flied trips without a separate permission slip for each individual trip. I will be agreeing to the following: 1. My child has permission to go on all field trips planned by TMS. I understand that I will be informed of each trip before my child leaves the TMS grounds. 2. That I understand and accept the fact that transportation of my child to an from the TMS, and to an from all activities which are connected with TMS but which are held some place other than 4408 Stanton Street, El Paso, Texas, such as field trips, class parties, and other events, are not the responsibility of TMS, but instead, are my responsibility as a Parent. 3. If I give written permission for my child to attend an activity described above which is at a location other than 4408 Stanton Street, El Paso, Texas, then by doing so, I also give my permission to anyone other than me who might provide transportation for my child to and from such an event to so provide such transportation. 4. Since the transportation described above is my responsibility, and is not the responsibility of TMS, I hereby agree to indemnify, defend, and hold TMS harmless from any and all liability for loss, injury, or damage which might result from transportation of my child to each TMS organized event conducted at locations other than the TMS campus facility. In addition, I further agree and do hereby hold the School harmless, and shall indemnify and defend TMS from any an all liability for loss, damage or injury which might occur in any other way in connection with such activities held off the TMS campus premises.
FLOYD S. FIERMAN RELIGIOUS SCHOOL POLICY AND PROCEDURES / Our Religious School operates within a climate of mutual respect (Kavod). Each student is expected to act with dignity and show respect to him/herself, other students, Rabbi, Educational Director, Teachers/TA's and the Temple. Teachers/Teachers Assistants are also expected to act with dignity and respect for themselves, other a clear understanding of what is acceptable behavior in the classroom. The student's good and respectful behavior is rewarded with praise, recognition and, in some cases, tangible incentives. Our goal is to encourage students to make wise choices concerning their behavior. Discipline: Teachers will deal with behavioral problems in a positive and productive manner within  the classroom. On the first day of Religious school, Teachers, TA's and students will discuss and agree on Classroom Rules. Security: The safety of our children is our primary concern. All teachers have received security procedure training. Please send an email to our Director Iran Brown prior to the beginning of the school day (ibrown@templemountsinai.com) or call (915)532-5959 if your child is going home with someone other than their parent. All children will be supervised by teachers, school administration, and parent volunteers to help ensure safety for all. School Dismissal: Sunday School children are dismissed at 12:00 PM and Hebrew Class and Lunch & Learn Confirmation at 1:15 PM. Religious School begins with T'filah, and important part of the morning when our students study and learn the prayers they will lead as B'nai Mitzvah and adults in the Jewish Community. Parents and siblings are welcome to join their students in the chapel for T'filah. Early Pick-Ups: It is our hope that every child will attend school for its duration, however, if extraordinary circumstances arise, the parent must inform the school administration and classroom teacher before the child may leave the building. students will not be released to the parking lot during school hours. If parents are picking up students before dismissal time, they must park and meet their child at their classroom. Parents/Guardians are urged to keep such requests to a minimum and to arrange medical appointments and extra-curricular activities on the days that school is not in session. Tzedakah: Students are encouraged to give tzedakah (charity to help ensure a more just society) during each class session. Tzedakah is on of the most important obligations in Judaism. The concept that "all Jews are responsible for one another" is a vital part of our school program.
Student B'rit (Covenant): I promise try my best to participate in class and to treat my peers with respect (kavod). I commit to taking part in creating a positive Jewish environment when I am at Temple Mount Sinai. I will try hard to learn and to grow as a young Jewish student who is a part of a tradition which goes back thousands of years. I will strive to be fully present and will avoid the use of cellphones and other electronic devices during Religious School. We encourage parents to become a part of their child's educational experience. Please below have the student type his/her name after reading this policy and agree to the procedures identified above.
I/We have read the Religious School Respect (Kavod) Policy & Procedures, and will address any concerns or problems with compliance of the discipline policies with the Education Director or Youth Advisor. Please type parent's name here:
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