Sign In Forgot Password

2022-2023 Religious School Registration

Fees Information:
Children in grades K-3 are free for this year. Students in grades 4 and up are $180 per child. Temple membership is required once your oldest child reaches 3rd grade.

Section A: Family Contact Information

If there is a secondary contact, all emails and mailings will go to both contacts. In case of urgent need, the primary contact will be notified first

Section B: Student Enrollment Information
Student 1 Information
Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Please email any 504 or IEP to the education director, info@rtrny.org.
Does your child have allergies or medications we need to know about?
Please describe allergies and medications with dosage and timing.
Student 2 Information
Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Please email any 504 or IEP to the education director, info@rtrny.org.
Does your child have allergies or medications we need to know about?
Please describe allergies and medications with dosage and timing.
Student 3 Information
Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Please email any 504 or IEP to the education director, info@rtrny.org.
Does your child have allergies or medications we need to know about?
Please describe allergies and medications with dosage and timing.
Student 4 Information
Information will not be shared publicly. Parents will be copied on all communication to students.
Information will not be shared publicly. Students will not be contacted independently from parents.
Please email any 504 or IEP to the education director, info@rtrny.org.
Does your child have allergies or medications we need to know about?
Please describe allergies and medications with dosage and timing.
Section C: Release Forms

By signing my name below, my child(ren) have permission to participate in the Religious School at The Reform Temple of Rockland. In consideration of my child(ren)'s acceptance as a religious school student, I hereby waive any and all claims against The Reform Temple of Rockland, its agents and its employees that may arise out of any injury, loss or damage suffered by my child(ren) during any religious school activity. I hereby authorize the Education Director, or person designated by the Education Director, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of New York. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is(are) in good physical health. They have my permission to participate in all activities that are part of the regular religious school program. 

By typing my name, I confirm I have read, understand and agree to the above.
Media Release

From time to time your child’s photo may be taken in our classrooms or special events.  We use these photos in the synagogue newsletters, on our synagogue website as well as our Facebook groups and other publicity materials.

Section D: Proof of Covid Vaccination\

The Reform Temple of Rockland requires that anyone who enters our building is required to have their Covid vaccination. Please upload an image of your child(ren)'s vaccination cards. 

Please upload your child(ren)'s Covid vaccination cards here.
Sat, October 1 2022 6 Tishrei 5783