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Member A Information
*
Indicates required field
*
*
*
Parent Information
Parent 1
Name
*
First
Last
Address
*
City
*
State
*
Zip Code
*
Home Phone
*
Cell Phone
*
Work Phone
*
Email
*
Parent 2
Name
*
First
Last
Address (if different)
*
City
*
State
*
Zip Code
*
Home Phone
*
Cell Phone
*
Work Phone
*
Email
*
News, Photo & Media Release
Temple Emanu-El may take pictures of your child in order to promote awareness of the Temple Emanu-El Religious School. These photos could be used internally for school bulletin boards or they may be published in the Temple Bulletin, Temple
w
ebsite, Temple Facebook page or local newspapers.
Please select "yes" or
"no" for
each statement below
:
I give my permission for my child(ren) to be photographed and to have photos used for the purpose of promoting Temple Emanu-El Religious School.
*
Yes
No
Name and photo can be used for school bulletin boards:
*
Yes
No
Photo can be posted to Temple website and Facebook page (children will not be identified):
*
Yes
No
Name and photo can be used for Temple Bulletin:
*
Yes
No
Name and phto can be published in newspapers, magazines, websites, etc.:
*
Yes
No
Individual Learning Information
Please tell us how your child learns and if you have any particular information that would help us to make your child’s learning experience here more successful. All information will be kept confidential and only those teachers who work directly with your child will see this information.
Child's Name
*
Does your child have an IEP in public school?
*
Yes
No
If yes, may we have a copy to give to teachers?
*
Yes
No
Does your child have any special learning needs?
*
Yes
No
If yes, please tell us about them:
*
Does your child have any special behavioral/social needs?
*
Yes
No
Option 3
If yes, please tell us about them:
*
Does your child need special seating in the classroom?
*
Yes
No
If yes, where?
*
Front
Back
Middle
Is there anything we should know about your child’s learning style? What works well? What does he/she have trouble with?
*
How can we help your child have a successful year?
*
Would you like to speak with Rabbi Rachel or your child’s teacher before school begins?
*
Yes
No
If yes, phone number and best time to reach you:
*
Submit
Home
Membership
Clergy and Staff
Temple Hours
Directions
Board of Directors
Committees
Contact Us
Employment Opportunities
Worship
Shabbat
Holidays
>
High Holy Days
Our Sanctuary
Temple Choir
Life Cycle Events
Ritual Resources
Shabbat and Holiday Melodies
Yahrzeit
Education and Study
Religious School
>
Religious School in Pictures
PTO
Adult Education
>
Cantor Vera's Classes
Weekly Parashah Study and Israel Chavurah
HaSifriyah/Library
Yiddish Cultural Exploration
Communications
Cantor Vera's Corner
Mindy's Musings
President's Message
In the News
Temple Bulletin
>
Want to advertise in our Bulletin?
Calendar
Pictures
Social Action
Community
Lotsa Helping Hands
Chesed
Haverhill Jewish Scholarship Loan Association
Temple Affliates