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Shorashim Limmud (Learning) Enrollment 23-24
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Shorashim Limmud (Learning)
features child-centered experiential learning, outdoor education in our Ya’ar/Woodlands, and a curriculum rooted in Torah and Jewish values focused on how to live a joyful, meaningful, Jewish life.
To secure a spot for your child, a $150 deposit is required. For questions please contact the BAI
office
.
If you have multiple children in
Shorashim Limmud (Learning)
, please fill out one form per child.
Shorashim Limmud (Learning) happens on
Thursdays from 4-6pm for students in grades K-7.
Tuition for K-2 is $995
Tuition for 3-4 is $1150
Tuition for 5-7 is $1400
*
Student's First Name
*
Student's Last Name
*
Student's Preferred Name
*
Student's Date of Birth (MM/DD/YYYY)
*
Student's Gender
*
Student's Pronouns
*
Student Email (if applicable)
*
Student Cell Phone (if applicable)
Shorashim Limmud (Learning):
Thursdays from 4-6pm for students in grades K-7
*
What grade will your child be entering in September of 2023?
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
*
Student's Primary School
*
If your child is entering grades 3-6, will they be attending Hebrew in person on Saturday mornings or working with a tutor on Zoom?
Saturdays, in person
Weekdays on Zoom
N/A
*
Adult 1 Name
*
Adult 1 Address
*
Adult 1 City
*
Adult 1 State
*
Adult 1 Zip Code
*
Adult 1 *Best Phone Number
*
Adult 1 Email
Adult 2 Name
Adult 2 Address (If the same as Adult 1, enter N/A)
Adult 2 City (if same as Adult 1, enter N/A)
Adult 2 State (if same as Adult 1, enter N/A)
Adult 2 Zip (if same as Adult 1, enter N/A)
*
Adult 2 *Best Phone Number
Adult 2 Email
*
Does your child have a medical or educational diagnosis/es that may impact them during their time in Shorashim Limmud (Learning)?
Yes
No
If you answered YES to the question above, please check all that apply
ADD/ADHD
Anxiety
Asthma
Autism Spectrum Disorder
Cognitive Disorder
Depression
Emotional/Coping Challenges
Learning Disability
Obsessive Compulsive Disorder
Physical Disability
Sensory Processing Differences
Tourette's/Tic Disorder
Traumatic Brain Injury/Major Concussion
Visual or Hearing Impairment
Other
If other, please specify.
Please list any food allergies, sensitivities or dietary restrictions.
Tell us about your student's strengths. What are strategies to engage them in the classroom? Tell us about your child's learning style. How do they seem to process information best - through visuals? Music and song? Kinesthetically, through doing?
*
Does your child have a behavior support plan?
Yes
No
*
Does your child have an IEP, 504 GIEP or other accommodations plan?
Yes
No
If yes, please upload here.
*
Does your child require additional adult support/aide in their classroom?
Yes
No
If your child takes medication on a daily basis, please list below.
Does your child have any allergies to medication? If yes, please describe.
*
I give Beth Am Israel permission to administer the following medications to my child.
Previously mentioned daily medication
Epi Pen (provided by parent)
Acetaminophen (Tylenol)
Ibuprofen (Motrin)
Asprin
None of the above
*
I give Beth Am Israel permission to administer First Aid/CPR to my child.
Yes
No
Would you like to discuss your child's needs further?
Yes
No
*
Is there anyone who is NOT allowed to pick up your child?
Beth Am Israel takes pictures to document our learning experience and to share them with the BAI community in emails, on the website and in social media. If you would not like your child to be photographed, please
email the office
.
A $150 non-refundable deposit due with enrollment
Annual Tuition Schedule
Kindergarten - 2nd Grade = $995
3rd-4th Grade = $1150
5th-7th Grade = $1,400
Payment Options
Paid in full by September 30
Paid biannually, payments due July 15 and December 15
Paid monthly, payments due 15th of the month July-April
I authorize an enrollment deposit of $150 to secure my child's spot in Shorashim Limmud (Learning).
I authorize an enrollment deposit of $150 to secure my child's spot in Shorashim Limmud (Learning).
Sat, May 4 2024
26 Nisan 5784
Sat, May 4 2024 26 Nisan 5784
