JFGRS GAN - ZAYIN (KINDERGARTEN - SEVENTH) REGISTRATION 2023-2024 - All Students

All students complete this form whether they have been students in JFGRS, NCCECE or not in the past.
2023-2024
Har Zion Temple
The Jane Fishman Grinberg Religious School
1500 Hagys Ford Road • Penn Valley, PA 19072 • 610-667-5000
Rabbi Shawn SimonHazani, Director of Lifelong Learning
School is in Session: Sunday 9am-12pm and Tuesday 4:15pm-6:15pm
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Email *
Student's First Name *
Student's Last Name *
Gender *
Birthdate *
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Parent/Guardian/Student Information
Parent/Guardian 1 - First Name *
Parent/Guardian 1 -Last Name *
Parent/Guardian 1 - Mobile number *
Parent/Guardian 1 - Email address *
Parent/Guardian 2 - First Name
Parent/Guardian 2 -Last Name
Parent/Guardian 2 - Mobile number
Parent/ Guardian 2- Email address
Full Address (Street, City, State, Zip code) *
Landline Phone
For emergencies and school closings, please list the best mobile phone for texting *
Hebrew Name (If you do not know it or do not have one, please indicate if you will need one for your child) *
Do you know your child's Bar/Bat Mitzvah Date *
Bar/Bat Mitzvah Date (If Known)
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Academic Year 2023-2024.  Please note, if your child will be in a different grade in Religious School from that of secular school, you MUST discuss with Dr. Schatz, and please indicate the JFGRS grade here. *
Name of Secular School, September 2023 *
Is the student taking any medication? *
If yes, please list all medications and any additional information that the school would need:
My child has a 504/IEP in their secular school. We welcome your sharing the information as it will further enable us to meet your child's educational needs. *
Please indicate in the following section which areas your child may need support (Please check all that apply.)
Please let us know anything about your student's medical, educational, dietary, safety, and general well-being needs of which we should be aware, that hasn't been answered adequately in the questions above.
I would like to schedule a meeting with the administration of the JFGRS to discuss my child's specific educational needs *
Tuesday Afternoon Transportation: Har Zion is pleased to accommodate school pick up and transportation to religious school from several local public/ private schools. The cost is determined once the number of students riding the bus is final.   Please indicate if your child will ride the Tuesday bus, and from which school. At this time we do not anticipate sufficient number of riders to offer transportation from other schools.   *
Required
The Jane Fishman Grinberg Religious School adheres to the health policies governing the Lower Merion School District, therefore, we do not dispense medication. In case of first aid, however, we give the school permission to administer minor first aid remedies should the need arise. (However, in all instances, the school will do its best to reach parents.)  In the event of an emergency and the individual listed above cannot be reached. we give permission for our child to be treated in the Emergency Room of the nearest hospital. *
SCHOOL TRIP PERMISSION We give our son/daughter permission to participate in all school and/or youth activities, including those in which school or class transportation is involved. This form must be on file to enable your child to participate in any school, class or youth activity involving transportation. *
The Jane Fishman Grinberg Religious School has our permission to use any photo, picture, or likeness of our child or any family member for promotional purposes including Har Zion Temple's website, newsletter, and in the synagogue social media. *
If you answered "no" to the previous question about photographs, please elaborate below. (i.e. no names used, no social media, or no pictures whatsoever). FYI: most pictures are simply shared with the class, in closed Har Zion email blasts, or in a closed Facebook group without names. There are times we might attach names or use in public.  You must clarify if you do not want this for your child's picture. 
We want to be sensitive to the changes that occur in students’ lives. Events such as death, separation, divorce and remarriage can have a tremendous impact on a child. Therefore, in our desire to be your partner in caring for your children, we request that you provide our school office with any relevant notifications or information, including copies of all court orders and agreements. All documentation will be kept in a confidential file. It is our school's policy that all information is emailed to all parents/guardians. If you have concerns regarding this policy, please speak with the Director of Lifelong Learning.
Hours, Tuition and Fees
Tuition for the JFGRS has been set by the Board of Directors and is detailed below according to division of the Religious School.    
Gan - Aleph (Kindergarten - 1st grade)
School Hours:  Sunday morning 9:00 AM- 12:00 PM
Please Check   Box  
Bet-Zayin (2nd-7th grade)
School Hours: Sunday morning 9:00 AM- 12:00 PM  and Tuesday afternoon 4:15 PM- 6:15 PM
Please check box
Separate Gesher Tuition (fifth-seventh grade) . $1800 spread over three years.  For any entering sixth or seventh grader who did not attend Gesher before the tuition will be adjusted so that the total is still $1800. This replaces what had previously been a separate Bar/ Bat Mitzvah fee.  It is in addition to JFGRS tuition as listed above. 
APPLICATION REQUIREMENTS & FINANCIAL OBLIGATIONS:  TO ALL FAMILIES:

This application can only be processed if all school and other 2022-2023 synagogue obligations are current. We look forward to having your child with us in the religious school.  

 This application is a legally binding contract. All financial obligations owed to Har Zion Temple for the above-named child are the responsibility of both parents. This application will not be processed unless both parents acknowledge this financial obligation by signing below. Any exceptions or special circumstances require the prior written approval of the Director of Lifelong Learning. 

We have read and agree to be legally bound by all of the terms and conditions set forth above and agree to be billed the amount due. *
Required
Payment Options: It is mandatory that a Payment Plan be selected

Payment Options: It is mandatory that a Payment Plan be selected *

Payment Option 1 - A: Pay in FULL - I/we agree to pay in one payment by check. This includes all JFGRS  tuition, security fees  and membership dues and fees if applicable. By check, in full, must be received by August 15, 2023.

 

Payment Option 1 - B: Pay in FULL - I/we agree to pay in one payment by credit card or ACH. This includes all JFGRS tuition, security fees,  membership dues and fees if applicable. Please auto process my credit card /ACH in full by September 1, 2023 (or before, if desired). *All Credit Card payments will incur a 2.5% processing fee added to each transaction.

 

Payment Option 2: Three Equal Payments: I/we agree for Har Zion Temple to auto charge my credit card / ACH on file on the 1st of September, 2023, December, 2023 and March, 2024. This includes JFGRS tuition, security, and membership dues and fees if applicable. Please auto process my credit card /ACH on 9/1/23, 12/1/23 and 3/1/24.*All Credit Card payments will incur a 2.5% processing fee added to each transaction.

 

Payment Option 3: Eight Equal Payments: I/we agree for Har Zion Temple to auto charge my credit card OR ACH on file on the 1st of each month for eight months. This includes all JFGRS tuition, security, and membership dues and fees if applicable. Please auto process my credit card /ACH beginning September 1, 2023 - April 1, 2024. *All Credit Card payments will incur a 2.5% processing fee added to each transaction.

If you select to use a credit card: All Credit Card payments will incur a 2.5% processing fee added to each transaction. I understand that I must notify Har Zion Temple when my credit card expires or is cancelled and supply them with an updated card number. If credit card is declined, a replacement must be given within 15 days or a fee of $25 will be assessed on my account. Please contact our Bookkeeper Rhoda Eisman at reisman@harziontemple.org to arrange a time to collect your credit card information.

 

If you select to use your bank account - ACH Checking Account:  Please contact our Bookkeeper Rhoda Eisman at reisman@harziontemple.org to arrange a time to collect your banking information.  I understand that I must notify Har Zion Temple four (4) days prior to the 1st of the month if my checking account number changes and provide new banking information.  If an ACH payment is declined for any reason a $25 fee will be assessed on my account.

 

* CANCELLATION & REFUND POLICY: No refunds will be issued and/or credit transferred to any other division of Har Zion Temple for any reason unless adjustments need to be made. Exceptions to this policy can only be made with written approval by the Executive Director.  Please note that if there are any special circumstances or problems of which the school should be aware, please contact our Director of Lifelong Learning before this application is filed. This application is a legally binding contract.  If HZT determines, in its discretion based on circumstances that school cannot run during the school year, a full refund will be given

Please select your payment option as described above. *
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We have read and agree to be legally bound by all of the terms and conditions set forth above and agree to be billed the amount due. *
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