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TEEN PROGRAMS - ONLINE REGISTRATION FORM
(PROGRAM DESCRIPTONS & CALENDAR BELOW)

Student 1:

Student #1 First name

Student #1 Last Name

Student #1 Email

Student #1 Cell Phone

Grade in Fall 2023

D.O.B.

Which Kulanu Trimester(s) will your student be attending?

Trimester One: October 17 - December 19

Trimester Two: January 8 - February 27

Trimester Three: March 5 - May 14

Full School Year : October 17 - May 14

Sunday Program Only (Better Together, Better to Serve, Mitzvah Corps)

PROGRAM OPTIONS: Please check all that apply:

KULANU: School of Jewish Studies (Grades 7 - 11)

MITZVAH CORP (Grades 6 - 8)

BETTER TO SERVE (Grades 9 -12)

BETTER TOGETHER: Community Service at Seashore Gardens (8-12)

MORIM: Teacher Prep

The Better Together and Better To Serve program are free of charge if registered for Kulanu. We ask all Kulanu students to select atleast one volunteer program to be part of.

_________________________________________________________________________________

Student 2: (if registering more than one teen)

Student #2 First name

Student # 2 Last Name

Student #2 Email

Student #2 Cell Phone

Grade in Fall 2023

D.O.B.

Which Kulanu Trimester(s) will your student be attending?

Trimester One: October 17 - December 19

Trimester Two: January 8 - February 27

Trimester Three: March 5 - May 14

Full School Year: October 17 - May 14

Sunday Program Only (Better Together, Better to Serve, Mitzvah Corps)

PROGRAM OPTIONS: Check all that apply:

KULANU: School of Jewish Studies (Grades 7 - 11)

BETTER TOGETHER: Community Service at Seashore Gardens (8-12)

BETTER TO SERVE (Grades 9 -12)

MITZVAH CORP (Grades 6 - 8)

MORIM: Teacher Prep

The Better Together and Better To Serve program are free of charge if registered for Kulanu. We ask all Kulanu students to select atleast one volunteer program to be part of.

_________________________________________________________________________________

Home Address

City, State Zip

My family affiliates as: (Reform, Conservative, Orthodox, Reconstructionist, Just Jewish, Culturally Jewish, other)?

If you belong to a synagogue, which one?

My child(ren) has (have) been vaccinated

I give permission to Kulanu/BJE to take whatever emergency measures (e.g. first-aid, disaster evacuation) as judged necessary for the care and protection of my child while under the supervision of Kulanu/BJE. I understand, that should a medical problem arise, all reasonable attempts will be made to reach parents/guardians or emergency contact designated on the Registration Form. However, should these attempts fail, and the student requires immediate medical consultation or treatment, I as parent/guardian, hereby authorize such consultation or treatment. I agree to the terms & conditions

MEDIA PERMISSION: BJE/Kulanuhas permission to photograph/film my child for advertising or editorial purposes and to use these photographs without compensation or additional restrictions.

OFFSITE TRIPS: I give permission for my child to participate in field trips and special programs away from the school facility.

RULES AND POLICIES I understand that students participating in Special Programs and Trips must respect and abide by the rules and policies particular to those premises and /or activities.

SPECIAL ISSUES, NEEDS AND REQUIREMENTS If your child has any special issues, needs or requirements (i.e., allergies, learning disabilities, medications, etc.), please explain below.

DISCIPLINE: I understand that if a discipline problem arises which cannot be addressed by the teacher, the student will be asked to leave the class and report to the Kulanu Director who will discuss the behavior further. The student will return to class by the end of the period. -If the problem is repeated more than twice in a trimester the school Director will call the parents to apprise them of the situation. If needed, the parents will be requested to come into the school for a conference with both student and teacher. It is our strong desire to keep the lines of communication open.

_________________________________________________________________________________

Parent/Guardian Information:

Parent/Guardian Full Name:

Cell Phone Number

Home Phone Number

Parent/Guardian #1 Contact Email

Parent/Guardian Full Name:

Cell Phone Number

Home Phone Number

Parent/Guardian #2 Contact Email

A $100 registration fee is required at time of Kulanu registration. This fee will be applied to any tuition costs

Paying online at www.bjeatlantic.org

Mailing a check to the BJE Office (501 N. Jerome Avenue, Margate NJ 08402

COMM SERVICE TEENS AUG 23.jpg

Mailing Address

501 North Jerome Ave

Margate, NJ 08402

Contact

BJEJosh@aol.com

Call

T: 609-822-1854

Leave a Jewish Legacy

Please remember the Jewish communal organizations you care about with a gift in your will, trust, retirement account, or life insurance policy.

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