2022-2023/5783 SMILE School Registration - Form - Or Hadash: A Reconstructionist Congregation

Or Hadash SMILE Inclusion Statement

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Or Hadash: A Reconstructionist Congregation, is a progressive, engaging and creative community that welcomes people of all backgrounds, including interfaith families, LGBTQ individuals, as well as people of all races, ethnicities and disabilities. We strive to make Judaism meaningful through study, prayer, cultural, musical and other artistic expression. Social action and acts of tikkun olam are also important ways to engage at Or Hadash. We want all people to know that they are completely welcome and that they can quickly become an integral part of our friendly community.

Our Religious School strives to be a dynamic and innovative community that is welcoming and inclusive of all individuals. Our synagogue reflects the diversity of the American Jewish community in keeping with the Reconstructionist ideology. We welcome everyone into our community, including: people of all racial and ethnic backgrounds, interfaith families, lesbian, gay, bisexual, transgender, queer, and questioning people and their families. The community makes every effort to actively include students with physical, sensory, cognitive and/or emotional challenges in all aspects of Jewish education and congregational life. We strive to include and educate the whole student as well as their families.

“Rabbi Eliezer says: Let other people’s dignity be as precious as your own.” Pirkei Avot 2:15

“Every member of the people of Israel is obligated to study Torah- whether one is rich or poor, physically able or with physical disability.” Maimonides, Mishne Torah, Hilchot Talmud Torah, Ch. 10.

Section A: Family Contact Information

* Is your family new to our school?

Please Select OneNoYes

* First Name (Parent /Guardian #1)

* Last Name (Parent /Guardian #1)

* Email (Parent /Guardian #1)

* Phone (Parent /Guardian #1)

* Relationship to Student(s) (Parent /Guardian#1)

* Street Address (Parent /Guardian #1)

Street Address Line 2 (Parent/Guardian #1)

* City (Parent/Guardian #1)

* State (Parent/Guardian #1)

* ZIP (Parent/Guardian #1)

Would you like to include another parent or guardian's information?

NoYes, at the same address as Parent/Guardian #1Yes, but at a different address as Parent/Guardian #1All information we collect will be used to send out announcements via email or mailings.

* First Name (Parent /Guardian #2)

* Last Name (Parent/Guardian #2)

* Email (Parent/Guardian #2)

* Phone (Parent/ Guardian#2)

* Relationship to Student(s) (Parent/Guardian #2)

* Email (Parent/Guardian #2)

* Phone (Parent/ Guardian#2)

* Relationship to Student(s) (Parent/Guardian #2)

* Street Address (Parent/Guardian #2)

Street Address Line 2 (Parent/Guardian #2)

* City (Parent/Guardian #2)

* State (Parent/Guardian #2)

* ZIP (Parent / Guardian #2)

Emergency Contact

* Emergency Contact Name

* Emergency Contact Phone

* Emergency Contact Relationship

* For the safety and well being of our students, we ask for a list of people you authorize to pick up your child or children.

Section B: Student Enrollment Information

Student 1 Information

* Student 1 First Name

* Student 1 Last Name

* Student 1 Birthdate

Student 1 Hebrew Name

Student 1 Nickname (if applicable)

* Student 1 Pronouns

Examples of some pronouns students might use:

* Student 1 Grade in Religious School

Your school tuition total is calculated at the bottom of this page.

* Student 1 Secular School Name

* Student 1 Learning Needs

Please Select OneNoYes (IEP or 504)If yes, please indicate the type of services/accommodations they are receiving. Know that we ask for this information in order to serve your child to the best of our ability. All personal information is held in strict confidence. We appreciate receiving IEP information.

If you wish to convey additional information, we invite you to send any documentation ahead of time to Rabbi Erin Hirsh at school@orhadash.com . Todah rabah for your open communication!

IEP / 504 Information

* Student 1 Allergies or Medications

Please Select OneNoYesDoes this student have any allergy or medication information SMILE school needs to know about?

What is the student's allergy?

Student 1 Allergy/Medication Details

In the box above, please provide detailed instructions on what to do if the child has an allergic reaction and how/when you would need us to administer their medication.

Student 2 Information

* Student 2 First Name

* Student 2 Last Name

* Student 2 Birthdate

Student 2 Hebrew Name

Student 2 Nickname (if applicable)

* Student 2 Pronouns

Examples students might use:

* Student 2 Grade in Religious School

Your school tuition total is calculated at the bottom of this page.

* Student 2 Secular School Name

* Student 2 Learning Needs

IEP / 504 Information

* Student 2 Allergies or Medications

Please Select OneNoYesDoes this student have any allergy or medication information SMILE school needs to know about?

What is the student's allergy?

Student 2 Allergy/Medication Details

In the box above, please provide detailed instructions on what to do if the child has an allergic reaction and how/when you would need us to administer their medication.

Student 3 Information

* Student 3 First Name

* Student 3 Last Name

* Student 3 Birthdate

Student 3 Hebrew Name

Student 3 Nickname (if applicable)

* Student 3 Pronouns

Examples students might use:

* Student 3 Grade in Religious School

Your school tuition total is calculated at the bottom of this page.

* Student 3 Secular School Name

* Student 3 Learning Needs

IEP / 504 Information

* Student 3 Allergies or Medications

Please Select OneNoYesDoes this student have any allergy or medication information SMILE school needs to know about?

What is the student's allergy?

Student 3 Allergy/Medication Details

In the box above, please provide detailed instructions on what to do if the child has an allergic reaction and how/when you would need us to administer their medication.

Student 4 Information

* Student 4 First Name

* Student 4 Last Name

* Student 4 Birthdate

Student 4 Hebrew Name

Student 4 Nickname (if applicable)

* Student 4 Pronouns

Examples students might use:

* Student 4 Grade in Religious School

Your school tuition total is calculated at the bottom of this page.

* Student 4 Secular School Name

* Student 4 Learning Needs

IEP / 504 Information

* Student 4 Allergies or Medications

Please Select OneNoYesDoes this student have any allergy or medication information SMILE school needs to know about?

What is the student's allergy?

Student 4 Allergy/Medication Details

In the box above, please provide detailed instructions on what to do if the child has an allergic reaction and how/when you would need us to administer their medication.

Do you require financial aid?

NoYesWe never want finances to stand in the way of our students' education and your family's involvement in the Or Hadash community. After submitting your registration form, you will have a few payment options. If you need to discuss your payment options further please reach out to our synagogue President, Barrie Mittica (president@orhadash.com) or Rabbi Alanna Sklover (rabbi@orhadash.com )

Media Release

I hereby give my permission and consent to Or Hadash to use photography and/or video of my child along with his/her creative art and written work produced while at Or Hadash, in any publications, promotional materials, or other media outlets including internet websites. This permission and consent does not apply to the use of my child’s name or any other identifying feature (other than image).

Section D: Congregation Community

Now more than ever, many of us are seeking community. Or Hadash is a caring comfortable family where we can grow and learn from each other. Our warmth is created by our members coming together (virtually and in-person) volunteering and attending services and events. How can you feel that community best? Take a look at the activities below and let us know what your family's interests are. If you have any skills that might be helpful that we have not included, let us know below! We want our community to reflect all of us and that means you and your family as well.

OH Education (check all that apply)

Section E: Payment Information

We will send out an email to all families who registered and inform you of your bill. We want to be sure everyone is properly signed into ShulCloud and your account is properly billed.

Thank you for your patience!