JEWISHLEARNINGREIMAGINED Makom ATID Registration Makom ATID Registration 2024-2025 Hebrew and Jewish learning for kids in Grades 6-8 "*" indicates required fields Step 1 of 6 16% Your Name* First Last Your Email* Enter Email Confirm Email Registration InformationHow did you first hear about Makom ATID?* Word of mouth (friend or relative) Facebook Instagram Online Parent Groups Makom website Makom newsletter Makom Afterschool newsletter JewishToronto.com (UJA event calendar) Other How many children are you registering?*One childTwo childrenChild Name* First Last Child's Email Address* Child's Phone NumberBirthdate* MM slash DD slash YYYY To help us determine the correct Hebrew birthday for your child please indicate if they were born: Before sunset After sunset Hebrew Name (if known) Are you registering your child for Hebrew?*Jewish Learning: Thursdays, 4:15-5:45pm. Hebrew: Mondays, 4:00-6:00pm. Monday Hebrew AND Thursday Jewish Learning Monday Hebrew ONLY Thursday Jewish Learning ONLY K1 Tuition - both daysTuition for two days per week is $3600.HiddenK1 link both days K1 Tuition - Jewish Learning OnlyTuition for one day per week is $1980. HiddenK1 link one day Grade in September 2024*Grade 6Grade 7Grade 8Gender* Female Male Other What school will your child attend during regular school hours?*As of September 2024 Would you like us to put you in touch with other parents who are sending their children to ATID from the same school or neighbourhood as you? Yes No Previous Jewish Education*Please briefly describe your child's prior Jewish education (school and which grades, private tutoring, camp, etc.) If you are registering for Hebrew Learning, please indicate child's level of Hebrew learning:* Little or no prior Hebrew knowledge Knows aleph-bet and vowels and can read words; limited vocabulary Can read and understand simple sentences Can read paragraphs and answer questions about them in Hebrew Highly proficient or fluent Other Approximately when would you like your child to have a Bar/Bat Mitzvah ceremony?Please give an approximate month/year. Medical InformationChild's Doctor* Doctor's Phone Number*Does your child have any significant medical conditions, physical limitations, or any other concerns that might affect their full participation in program activities or require any modification of their participation?* Yes No If yes, please describe and provide details of usual treatment:Does your child wear or carry medical alert identification?* Yes No If yes, please specify what is written on it:Does your child take prescribed medication on a regular basis?* Yes No If yes, please specify:Allergies/AsthmaDoes your child have any allergies?* Yes No Please list all known allergies to foods, medications, or other allergens (e.g., bee or wasp stings, environmental allergies):Is the allergy considered: Mild Moderate Serious Life-Threatening Please explain symptoms and treatment:Has your child ever suffered a serious allergic or asthmatic reaction?* Yes No Please provide details, including the type and severity of reaction:Has a doctor prescribed an Epi-Pen for your child?*Prescribed epi-pens must be carried by the student at all times. Yes No Has a doctor prescribed an inhaler for asthma?*Prescribed asthma inhalers must be carried by the student at all times. Yes No Has a doctor prescribed an inhaler for any other reason?* Yes No If yes, please provide details:Dietary RestrictionsPlease list any foods your child should not eat for medical, dietary, or religious reasons:Please include any food allergies that were listed previously in the allergy section.Individual ConsiderationsWe recognize that all children learn and socialize differently. Makom ATID is inclusive and aims to provide as much individualized support as we can. To that end, the more information you can share with us about your child, the better able we will be to accommodate and support their individual needs. This information will be kept in confidence and will only be shared with the program director and your child's teachers.Please tell us about your child’s learning and communication styles, including strengths and challenges.This might include identified learning disabilities, autism spectrum, and giftedness.Does your child have an Independent Educational Plan? If yes, please email a copy of it to familyed@makomTO.org.* Yes No Please share any strategies or accommodations that are used for your child at school or at home, that may be useful for us to consider at Makom ATID.Does your child have any physical challenges or limitations that require support or accommodation?If so, please describe in detailFamily LifeWe know that situations within the home and family affect children at school and in social settings. Please share with us if there are any situations or recent events in your family that we should be aware of (e.g. recent deaths or marital changes).Please share any additional information about your child that we might need to know. Second Child - Name* First Last Child's Email Address* PhoneBirthdate* MM slash DD slash YYYY To help us determine the correct Hebrew birthday for your child please indicate if they were born: Before sunset After sunset Hebrew Name (if known) Are you registering your child for Hebrew?*Jewish Learning: Thursdays, 4:15-5:45pm. Hebrew: Mondays, 4:00-6:00pm. Monday Hebrew AND Thursday Jewish Learning Monday Hebrew ONLY Thursday Jewish Learning ONLY K2 Tuition 2 daysTuition for two days per week is $3600.HiddenK1 link both days K2 Tuition - Jewish Learning OnlyTuition for one day per week is $1980. HiddenK2 link one day Grade in September 2024*Grade 6Grade 7Grade 8Gender* Female Male Other What school will your child attend during regular school hours?*As of September 2024 Would you like us to put you in touch with other parents who are sending their children to ATID from the same school or neighbourhood as you? Yes No Previous Jewish Education*Please briefly describe your child's prior Jewish education (school and which grades, private tutoring, camp, etc.) If you are registering for Hebrew Learning, please indicate child's level of Hebrew learning:* Little or no prior Hebrew knowledge Knows aleph-bet and vowels and can read words; limited vocabulary Can read and understand simple sentences Can read paragraphs and answer questions about them in Hebrew Highly proficient or fluent Other Approximately when would you like your child to have a Bar/Bat Mitzvah ceremony?Please give an approximate month and year Medical InformationChild's Doctor* Doctor's Phone Number*Does your child have any significant medical conditions, physical limitations, or any other concerns that might affect her/his full participation in program activities or require any modification of her/his participation?* Yes No If yes, please describe and provide details of usual treatment:Does your child wear or carry medical alert identification?* Yes No If yes, please specify what is written on it:Does your child take prescribed medication on a regular basis?* Yes No If yes, please specify:Allergies/AsthmaDoes your child have any allergies?* Yes No Please list all known allergies to foods, medications, or other allergens (e.g., bee or wasp stings, environmental allergies):Is the allergy considered: Mild Moderate Serious Life-Threatening Please explain symptoms and treatment:Has your child ever suffered a serious allergic or asthmatic reaction?* Yes No Please provide details, including the type and severity of reaction:Has a doctor prescribed an Epi-Pen for your child?*Prescribed epi-pens must be carried by the student at all times. Yes No Has a doctor prescribed an inhaler for asthma?*Prescribed asthma inhalers must be carried by the student at all times. Yes No Has a doctor prescribed an inhaler for any other reason?* Yes No If yes, please provide details:Dietary RestrictionsPlease list any foods your child should not eat for medical, dietary, or religious reasons:Please include any food allergies that were listed previously in the allergy section.Individual ConsiderationsWe recognize that all children learn and socialize differently. Makom ATID is inclusive and aims to provide as much individualized support as we can. To that end, the more information you can share with us about your child, the better able we will be to accommodate and support their individual needs. This information will be kept in confidence and will only be shared with the program director and your child's teachers.Please tell us about your child’s learning and communication styles, including strengths and challenges.This might include identified learning disabilities, autism spectrum, and giftedness.Does your child have an Independent Educational Plan? If yes, please email a copy of it to familyed@makomTO.org.* Yes No Please share any strategies or accommodations that are used for your child at school or at home, that may be useful for us to consider at Makom ATID.Does your child have any physical challenges or limitations that require support or accommodation?If so, please describe in detailFamily LifeWe know that situations within the home and family affect children at school and in social settings. Please share with us if there are any situations or recent events in your family that we should be aware of (e.g. recent deaths or marital changes).Please share any additional information about your child that we might need to know. Parent/Guardian 1 - Name* First Last Parent/Guardian 1 - Email* Parent/Guardian 1 - Home PhoneParent/Guardian 1 - Cell Phone*Parent/Guardian 1 - Work PhoneParent/Guardian 1 - Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Would you like to be added to the Makom community newsletter?We send out approximately one email per week with information about upcoming events. Please add me to the newsletter! Second Parent/Guardian InformationParent/Guardian 2 - Name First Last Parent/Guardian 2 - Email Parent/Guardian 2 - Home PhoneParent/Guardian 2 - Cell PhoneParent/Guardian 2 - Work PhoneParent/Guardian 2 - Address Same as Parent/Guardian 1 Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Would you like to be added to the Makom community newsletter?We send out approximately one email per week with information about upcoming events. Please add me to the newsletter! With whom does your child (/children) live?*Please contact our director at familyed@makomto.org if there is anything you need us to know about your family situation or your child's guardianship. Parent/Guardian 1 Parent/Guardian 2 Both Additional Family InformationPlease answer the following questions to help us better understand the makeup of our Makom Afterschool communityIs anyone in the child's immediate family a member of a local synagogue?* Yes (one parent/guardian) Yes (both parents/guardians) No Other If yes, please share the name of the synagogue? Do you attend High Holiday services at a synagogue?* Yes No If yes, where do you attend? Is anyone in the child's immediate family a member of a local JCC?* Yes, one or both parents/guardians (MNJCC) Yes, one or both parents/guardians (a different JCC) No, neither parent/guardian is a member Do you see Makom as your primary Jewish community or one of your Jewish communities?* Yes (it is our primary Jewish community) Yes (it is one of our Jewish communities) No, it is not Would you like more information about PJ Our Way?A free program in which kids aged 9-12 can choose which Jewish books to receive each month Yes, please No, thank you Parent/Guardian 1: How would you describe your current Jewish identity?*Please select all that apply Conservative Culturally Jewish Israeli Just Jewish Orthodox Post-Denominational Queer Jewish Reconstructionist Reform Secular Sephardi/Mizrahi Not Jewish Other If other, please specify Parent/Guardian 2: How would you describe your current Jewish identity?Please select all that apply Conservative Culturally Jewish Israeli Just Jewish Orthodox Post-Denominational Queer Jewish Reconstructionist Reform Secular Sephardi/Mizrahi Not Jewish Other If other, please specify Emergency InformationEmergency Contacts (aside from parents/guardians listed above)*NameCell PhoneRelationship to child Add Remove Permissions & WaiversThe following permissions and waivers are required for enrollment in Makom ATID. If you have any questions or concerns, please contact familyed@makomto.orgWaiver*I hereby release Makom, its Board of Directors, staff, contractors and volunteers from all claims, demands, losses, suits, or proceedings resulting from the participation of my child in any facility or at any location where a program is being held, including online. Agree Trip Permission*I give permission for my child to participate in Makom field trips. I understand that transportation will be either by carpool, school bus, TTC, or by foot, as appropriate. Agree Photo/Video Release*I give permission to Makom to photograph or make video recordings of my child during program hours or at any program-related activity, and to use such photographs in program communications or publicity of any kind, including but not limited to newsletters, event flyers and on Makom’s website and social media such as Facebook. I understand that my permission means that Makom is best able to publicize Makom ATID to potential students and others. Permission does not include use of my child’s photograph for any purpose other than to communicate information about Makom. I understand that my child’s name will not be published unless I am explicitly asked for additional consent. Agree I would prefer to sign an opt-out form Parent Contact List*I give permission for my email and phone number to be shared with other Makom ATID parents. Agree Do Not Agree Refund PolicyMakom ATID operates on a tight budget; we rely on the income from tuition to run our program. In the case that a child is withdrawn from the program before September 1, 2024, the following portions of full tuition are non-refundable: Before June 1, 2024: 20%. Between June 1 and June 30, 2024: 40%. Between July 1 and July 31, 2024: 60%. Between August 1 and August 31, 2024: 80%. After September 1, 2024, tuition is completely non-refundable. You will receive a charitable donation receipt for all amounts paid. In a case where a student is asked to leave Makom ATID for disciplinary reasons, all tuition fees will be forfeit, including the registration deposit. No refund will be issued. No exceptions will be made to this policy.I have read and understood the Makom ATID Refund Policy.* Yes TuitionProduct Name Price: $ 0.00 CAD Total Tuition Payment*Tuition is paid through TUIO, our online payments platform. You can opt to pay in instalments or upfront. Financial aid is available. If you would like more information about applying for a need-based scholarship, select the financial aid option below. I will pay upfront in full (select in TUIO) I will pay in instalments June 1-September 1 (select in TUIO) I will apply for need-based financial aid EmailThis field is for validation purposes and should be left unchanged.