5785 Youth and Family Registration Form

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You must be a member of Kolot to register for our Youth and Family Programs.

If you aren't yet a member of Kolot, please contact Brett Parker before proceeding with filling out the Youth and Family form. Thank you!

We can't wait to welcome students back to a meaningful and joyful experience of Jewish learning !

* Form Type

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**You MUST be logged** in to register for Youth and Family Programs.

If you need help logging in, please contact the office at 718-395-9950 or info@kolotchayeinu.org and we will follow up with you as soon as possible.

If you were to fill out this form as a renewing member without logging in, this would create a duplicate account and your payments/registration would not be applied to the correct account!

You must click here to register prior to filling out this form

* Adult 1's First Name

* Adult 1's Last Name

* Adult 1's Mobile Phone Number

* Adult 1's Email Address

* Has ANY information changed on your account? (You MUST pick "No" or "Yes" to see the rest of the form)

If you have a change in family structure (new child, married / divorced) or new contact information, please select "YES." If everything about your account is exactly the same as the prior year, select "NO."

* Address

Address

* City

* State

* Zip

* Would you like to register another adult on your Youth and Family account?

NOTE: This adult will also be a main contact for communication related to the registered child’s Youth and Family experience.

* Adult 2's First Name

* Adult 2's Last Name

* Adult 2's Mobile Phone Number

* Adult 2's Email Address

YOUTH & FAMILY Registration Form

Early Bird Discounted Fees apply through July 14.
Standard fees apply starting July 15. Registration DEADLINE is August 15.
Enrollment after August 15 is subject to availability and late fees will apply.

If your account is in arrears for 5784, your child will not be considered registered for CLP. Please email our Executive Director, Brett Parker, at BrettParker@kolotchayeinu.org, or call the Kolot office at 718-395-9950 immediately to discuss your situation.

CLASSES

TorahTots / 0-4 yr olds & Parents
A Shabbat Sing-along happening Eight Saturdays between October and May, 10:00am-11:30am
October 19, November 2, December 7, January 4, February 8, March 8, April 5, May 3
Location: Kolot Chayeinu Social Hall, 1012 8th Ave, Brooklyn, NY 11215
Cost: $136 for the whole year

Kolot K'tanim / Pre-K - 1st Grade & Parents
Second Shabbat/Saturday morning of the month between November and June, 10:00am-12pm
Location: Kolot Chayeinu Social Hall, 1012 8th Ave, Brooklyn, NY 11215
Cost: $800 through 7/14, $850 if available after that

CLP: Kitah Bet / 2nd Grades
Mondays between October and June, 4:00pm-5:30pm
with optional childcare 5:30pm-6:00pm
Location: Park Slope Jewish Center, 1320 8th Ave, Brooklyn, NY 11215
Attendance Requirement: Class/Kitah Shabbat
Cost: $1,250 through 7/14, $1,350 through 8/15, $1,450 if available after that
Optional childcare (5:30-6:00 pm) fees are $160 until 7/14, $175 until 8/15, $220 if available after that

CLP: Kitah Gimmel, Daled, & Hay / 2nd-5th grade
Mondays between October and June, 4:00pm-6:00pm
with optional Early Arrival 3:40pm-4:00pm.
Location: Park Slope Jewish Center, 1320 8th Ave, Brooklyn, NY 11215
Attendance Requirement: 3-6 (number depends on grade) Shabbat/holiday services including Class/Kitah Shabbat
Cost: $1,450 through 7/14, $1,550 through 8/15, $1,725 if available after that
Early Arrival fees are $160 until 7/14, $170 until 8/15, $220 if available after that

B'nai Mitzvah / 6th-7th grade
Thursdays between October and June, 4:15pm-6:15pm
Location: Park Slope Jewish Center, 1320 8th Ave, Brooklyn, NY 11215
Attendance Requirement: 12 Shabbat/holiday services*, plus parent & child attendance at our monthly Thursday Family Class, 6:15-7pm, at Kolot Chayeinu, 1012 8th Avenue, Brooklyn, NY 11215. Please note: on the days when there is Family Class, B'M class will be shortened to one hour and run from 4:45-5:45pm with a pizza dinner at 5:45pm.
Cost: $1,700 through 7/14, $1,800 through 8/15, $1,982 if available after that

If your child is starting CLP for the first time by entering the B'nai Mitzvah program, there is an additional fee of $180 to cover administrative costs.

*Service Attendance Requirement: B'M students are strongly encouraged to attend 12 services online or in person if that's an option for your family. Please note, we recommend students attend any Kolot service except Shabbat Sheli, and up to three non-Kolot services.

What's Up?! / 8th grade
Every other Monday between October and June, 5:00pm-6:30pm,
plus three Action Days (usually Sundays), additional spring rehearsals, and performance.
Location: Park Slope Jewish Center, 1320 8th Ave, Brooklyn, NY 11215
Cost: $900 through 7/14, $1000 through 8/15, $1,065 if available after that

* Child 1's First Name

* Child 1's Last Name

Child 1's Gender Pronoun

(ex: she/her, he/him, they/them, ze)

* Child 1's Birthdate

* Child 1 is:

* Child 1 Enrollment Class ( Don't forget to pick a class! )

* Will Child 1 participate in early drop-off?

* Will Child 1 Participate in optional childcare from 5:30-6:00 pm.

* Is Child 1 both new to CLP AND enrolling in the B-Mitzvah Program for the first time?

* Child 1's Secular Day School

Child1 Friend Request

We are interested in supporting relationships between our students. To that end, we will try to honor at least ONE request for your child to be with a friend when we create classes. Please list 1-3 friends whom your child would like to be with in class.

Child 1 Medical Information

Allergies/Medications: Please describe any medical conditions, medications, or allergies that we should know about.

Does Child 1 have an IEP?

Would you be willing to provide Kolot's Learning Specialist and principal with a copy of Child 1's IEP?

Please provide an overview of Child's 1's social, emotional and learning needs.

Kolot is committed to a policy of inclusion and providing an opportunity for all students, regardless of needs, to learn together in community. If you noted that your child has an IEP, our Learning Specialist will contact you before the start of the school year to discuss the best way to support their learning in CLP.

* Child 1 Dismissal: Please select if your child

* Emergency Contact Info for any/all kids enrolling -- Name/Relationship/Phone Number for at least 2 people beyond children's parents/primary guardians

* Family Media Release - Do you grant permission for Kolot Chayeinu to publish images of your child/ren in online and print materials?

Please Select OneYesNo

Kolot Chayeinu periodically shares images from CLP programs through the website, brochures, and emails. This media documentation is an exciting and important part of strengthening and sharing our learning. Whenever children's images are published without first asking the family, there is NO NAME attached to the image.

* Would you like to register another child? ( You must select a choice here to continue with form.)

* Child 2's First Name

* Child 2's Last Name

Child 2's Gender Pronoun

(ex: she/her, he/him, they/them, ze)

* Child 2's Birthdate

* Child 2 is

* Child 2 Enrollment Class ( Don't forget to pick a class! )

* Will Child 2 participate in early drop-off?

* Will Child 2 Participate in optional childcare from 5:30-6:00pm?

* Is Child 2 both new to CLP AND enrolling in the B'nai Mitzvah Program for the first time?

* Child 2's Secular Day School

Child 2 Friend Request

Child 2 Medical Information

Allergies/Medications: Please describe any medical conditions, medications, or allergies that we should know about.

Does Child 2 have an IEP?

Would you be willing to provide Kolot's Learning Specialist and principal with a copy of Child 2's IEP?

Please provide an overview of Child 2's social, emotional and learning needs.

Kolot is committed to a policy of inclusion and providing an opportunity for all students, regardless of needs, to learn together in community. If you noted that your child has an IEP, our Learning Specialist will contact you before the start of the school year to discuss the best way to support their learning in CLP.

* Child 2 Dismissal: Please select if your child

* Would you like to register another child? ( You must select a choice here to continue with form.)

* Child 3's First Name

* Child 3's Last Name

Child 3's Gender Pronoun

(ex: she/her, he/him, they/them, ze)

* Child 3's Birthdate

* Child 3 is

* Child 3 Enrollment Class ( Don't forget to pick a class! )

Will Child 3 participate in early drop-off?

Will Child 3 Participate in optional childcare from 5:30-6:00pm?

* Is Child 3 both new to CLP AND enrolling in the Bnai Mitzvah program for the first time?

* Child 3's Secular Day School

Child 3 Friend Request

Child 3 Medical Information

Allergies/Medications: Please describe any medical conditions, medications, or allergies that we should know about.

Does Child 3 have an IEP?

Would you be willing to provide Kolot's Learning Specialist and principal with a copy of Child 3's IEP?

Please provide an overview of Child's 3 's social, emotional and learning needs.

Kolot is committed to a policy of inclusion and providing an opportunity for all students, regardless of needs, to learn together in community. If you noted that your child has an IEP, our Learning Specialist will contact you before the start of the school year to discuss the best way to support their learning in CLP.

* Child 3 Dismissal: Please select if your child ( You must select a choice here to continue with form.)

Torah Tots/K'tanim Non-Member Registration Form

Torah Tots Shabbat Sing-along is $136/ year
K'tanim Early Bird Discounted Fees apply through July 1.
Standard fees apply starting July 2. Registration DEADLINE is September 6th.
Enrollment after September 6th is subject to availability.

CLASSES

TorahTots / 0-4 yr olds & Parents
Eight Saturdays between October and May, 10:00am-11:30am
October 19, November 2, December 7, January 4, February 8, March 8, April 5, May 3
Location: Kolot Chayeinu Social Hall, 1012 8th Ave, Brooklyn, NY 11215
Cost: $136

* Child 1's First Name

* Child 1's Last Name

Child 1's Gender Pronoun

(ex: she/her, he/him, they/them, ze)

* Child 1's Birthdate

* Child 1 is:

* Child 1 Enrollment Class ( Don't forget to pick a class! )

* Child 1 Secular Daycare / School

Child 1 Medical Info

Allergies/Medications: Please describe any medical conditions, medications, or allergies that we should know about.

Is there anything particular you think we should know about Child 1's development?

* Family Info - Emergency Contact for any/all children enrolling?

Emergency Contact Info
In the case of an emergency, parents/guardians will be contacted first. Please provide at least two other emergency contacts- name, relationships to student, and phone numbers for ALL children listed here and below.

Family Media Release - Do you grant permission for Kolot Chayeinu to publish images of your child/ren in online and print materials?

* Would you like to register another child? ( You must select a choice here to continue with form.)

* Child 2's First Name

* Child 2's Last Name

Child 2's Pronoun

* Child 2's Birthdate

* Child 2 is

* Child 2 Enrollment Class ( Don't forget to pick a class! )

Child 2 Secular Daycare / School

Child 2 Medical Info

Allergies/Medications: Please describe any medical conditions, medications, or allergies that we should know about.

Is there anything particular you think we should know about Child 2's development?

Questions on Racial and Ethnic Identities

As part of Kolot's journey to become an anti-racist congregation, Kolot would like to both know and celebrate the racial and ethnic identities of all of our young Kolotniks and their grown ups so we can best engage and embrace our whole community. Years ago, the Race Working Group added the following optional questions for new members, and we’d like to welcome families in the Children’s Learning Program to answer these as well. If you have any questions or comments, please contact info@kolotchayeinu.org. We invite your feedback!

How does your child identify racially, or, if you haven’t spoken with your child about this, how do you imagine they might identify as they grow older? (e.g.: White, Black, Asian, Hispanic/Latinx, person of color, multiracial, etc.)

As your child/ren's grown-ups, how do you identify racially (e.g.: White, Black, Asian, Hispanic/Latinx, person of color, multiracial, etc.)?

How does your child identify ethnically (e.g. Ashkenazi, Sephardi, Mizrachi, Mexican, Italian, Irish, etc.)?

How do you as parents identify ethnically (e.g. Ashkenazi, Sephardi, Mizrachi, Mexican, Italian, Irish, etc.)?

Volunteering

Interested in volunteering at CLP? CLP is a community school where students’ learning is deepened and enhanced by the talents, skills, passions and participation of its members. Whether you’re an artist, former teacher, or simply have the time to lend a hand, we’d love for you to join us.

Other

Would you be willing or able to volunteer in any of these capacities?

Extra set of hands in person during CLP (4-6pm on Mondays, 4:15-6:15pm on Thursdays)Phone Tree Volunteer

Other

Education Committee: Interested in contributing your voice to CLP? We’re looking for new members to join the education committee! The committee meets once a month on weekday evenings or weekend days and advises on issues both large and small from early childhood through teen education at Kolot.

YesNo

Payment Options

Pressing the button below will take you to our payment portal. NOTE: Your form will not be submitted until you complete the following page and receive a confirmation email!

Pay online, in full or in part, OR set up a payment schedule now
After submitting your form, you'll be taken to a payment screen. There you can choose to pay now or schedule to start paying in the future. You can also choose to pay the full amount, or to pay in monthly or even weekly installments.

Please note: Any payments made or payment plans scheduled through the CLP registration form will only apply to 5784 CLP tuition. Please remember to log back into your ShulCloud account in August and pay or set up a payment plan for your 5784 membership dues and High Holy Days pledges.

LOGGED IN MEMBERS ONLY:
Bill my account
If you do not wish to arrange payment at this time, current logged-in members can choose to "bill my account". Invoices will be charged to your account and you can pay them later either by logging in or sending in a check. DO NOT SET A PAYMENT SCHEDULE if you choose this option. Be sure it's set to "Once Now"

Pay by check
If you want to pay by check, you must be logged in and choose: "Bill My Account." You can remit payment to "Kolot Chayeinu" and please be sure to mark in the memo how you would like your payment applied to your account. Please send a check to Kolot Chayeinu at 320 7th avenue, #314 Brooklyn, NY 11215.

Please DO NOT click "Continue to Payment" unless you see "Total Amount Due to Kolot Chayeinu" below this line. Thank you!

If you click the button and are taken to the top of this page, and not to a payment screen, scroll to the beginning of the form to see what required fields you may not have answered.

Total Amount Due to Kolot Chayeinu

Total CLP Tuition due Kolot Chayeinu.
Payment schedules may be worked out on the next page
(NOTE: CLP sibling discounts may not show as individual lines but total amount should be correct)

Tue, November 5 2024 4 Cheshvan 5785