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Ramat Shalom Forms 2022-2023
High Holidays Form
Early Childhood Center
Bar/Bat Mitzvah & Hebrew School
What’s Happening
Calendar
Services
Online Prayerbooks
Programs and Education
Youth Group
Life Cycle Events
About Us
Our Story
Meet Our Team
Join Our Community
Payment/Donate
Contact Us
Get In Touch
Ramat Shalom Forms 2022-2023
High Holidays Form
Early Childhood Center
Bar/Bat Mitzvah & Hebrew School
What’s Happening
Calendar
Services
Online Prayerbooks
Programs and Education
Youth Group
Life Cycle Events
About Us
Our Story
Meet Our Team
Join Our Community
Payment/Donate
Contact Us
Get In Touch
Ramat Shalom Forms 2022-2023
High Holidays Form
Early Childhood Center
Bar/Bat Mitzvah & Hebrew School
What’s Happening
Calendar
Services
Online Prayerbooks
Programs and Education
Youth Group
Life Cycle Events
About Us
Our Story
Meet Our Team
Join Our Community
Payment/Donate
Contact Us
Get In Touch
Ramat Shalom Forms 2022-2023
High Holidays Form
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11301 W. Broward Boulevard, Plantation, FL 33325
954-472-3600/ Fax 954-472-3622
ramatshalom@ramatshalom.org
iSERVE/ Program Description
iServe is an innovative program for Ramat Shalom’s Post B’nai Mitzvah, Confirmation and Post-Confirmation teens that focuses on the Jewish concepts of G’milut Hasadim (deeds of loving kindness) and Tikun Olam (actions to repair the world). The goal of iServe is twofold: (1) to educate teens about the needs in their community; and (2) to give them the resources & the opportunity to go out and heal the world. Throughout the year, iServe teens will contemplate, plan and engage in various meaningful, hands-on community service projects that will strengthen their Jewish identity and reinforce their Jewish values. Some highlights include: a challah bake for the food-insecure of Broward County; two beach clean-ups, bingo night with U.S. Veterans; a 6,000 lbs. food challenge for the Harvest Drive; and so much more! Service hours are available for iServe activities. iServe is open to all 8th-12th graders. At the end of 10th grade, iServe, students whose families take part in our Congregational Plan are eligible for Confirmation.
Kochavim/Youth Choir
A love of music is the only requirement for participation in this group! Rehearsals take place approximately once per month on Sundays, immediately following Torah School. Social opportunities and camaraderie are plentiful as the choir prepares for several performances throughout the year. Lunch is provided.
Please indicate which program you are selecting. Please submit one form for each child!
iSERVE Program (Gr. 8 – 12) – $190 Non-member – $225
Kochavim / Youth Choir (Gr. K-7) – $80 Members only
Child's Name:
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Hebrew Name:
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Phone:
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Email:
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School:
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Grade in School 2022-2023:
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Torah School Grade:
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Date of Birth:
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Age on 8/1/22:
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Identified Gender:
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Parent 1 Name:
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Parent 2 Name:
Parent 1 Phone:
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Parent 2 Phone:
Parent 1 Work Phone:
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Parent 2 Work Phone:
Parent 1 Email:
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Parent 2 Email:
Child lives with:
Parent 1
Parent 2
Both
Other
Relationship:
Emergency Information: In case of minor illness or injury of my child at school, I give the school staff permission to give basic first aid to my child. In case of a major injury or illness, I understand that staff will make every effort to contact me. If they are unable to do so, I give permission for my child’s physician and/or an ambulance to be contacted and for a physician to hospitalize and/or secure proper treatment for my child.
In case of an emergency call:
Emergency Contact 1 Name:
*
Emergency Contact 2 Name:
Emergency Contact 1 Phone:
*
Emergency Contact 2 Phone:
Emergency Contact 1 Reltionship:
*
Emergency Contact 2 Reltionship:
My child may be picked up from Torah School by the following people:
Pickup List Name 1:
Pickup List Name 2:
Pickup List Phone 1:
Pickup List Phone 2:
Pickup List Relationship 1:
Pickup List Relationship 2:
List any allergies, medical conditions and/or daily medication: (Please notify the Torah School office of any changes)
Allergies:
Medical Conditions:
Medication:
Please provide any information about your child that may affect the classroom learning:
For example, specific learning issues, special needs, or educational accommodations.
Insurance Company:
Policy Number:
1. Electronic Items: Ramat Shalom is not responsible for any phones or games brought to school. We therefore suggest that you do not bring these items.
2. Publicity Release: I authorize pictures and/or videos of my child to be used for publicity and marketing purposes on the Ramat Shalom website, newspapers, magazines, social media, or marketing materials.
Yes
No
Electronic Signature:
*
Date:
*
Submit
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X