JEWISH
LEARNING
REIMAGINED

Makom ATID Registration

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 Information

How 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

Would you like to be signed up for the Makom community newsletter?

Yes

How many children are you registering?*

Child Name*

First Last

Child's Email Address*

Birthdate*

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?*

All students must attend the required Jewish Learning day (Thursday, 4:15-5:45pm). The Hebrew learning day (Mondays, 4:00-6:00pm) is optional. Please consult with Rabbi Aaron before opting out of the Hebrew learning day. Hebrew proficiency is required for those who wish to have a Bar/Bat Mitzvah ceremony that includes Torah reading.

Monday Hebrew AND Thursday Jewish Learning

Thursday Jewish Learning ONLY

K1 Tuition - both days

Tuition for two days per week is $3300.

Hidden

K1 link both days

K1 Tuition - Jewish Learning Only

Tuition for one day per week is $1800.

Hidden

K1 link one day

Grade in September 2023*

Gender*

Female

Male

Other

What school will your child attend during regular school hours?*

As of September 2023

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

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 Information

Child'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

If yes, please describe and provide details of usual treatment:

Does your child wear or carry medical alert identification?*

Yes

If yes, please specify what is written on it:

Does your child take prescribed medication on a regular basis?*

Yes

If yes, please specify:

Allergies/Asthma

Does your child have any allergies?*

Yes

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

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

Has a doctor prescribed an inhaler for asthma?*

Prescribed asthma inhalers must be carried by the student at all times.

Yes

Has a doctor prescribed an inhaler for any other reason?*

Yes

If yes, please provide details:

Dietary Restrictions

Please 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 Considerations

We 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

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 detail

Family Life

We 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*

Birthdate*

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?*

All students must attend the required Jewish Learning day (Thursday, 4:15-5:45pm). The Hebrew learning day (Mondays, 4:00-6:00pm) is optional. Please consult with Rabbi Aaron before opting out of Hebrew learning. Hebrew proficiency is required for those who wish to have a Bar/Bat Mitzvah ceremony that includes Torah reading.

Monday Hebrew AND Thursday Jewish Learning

Thursday Jewish Learning ONLY

K2 Tuition 2 days

Tuition for two days per week is $3300.

Hidden

K1 link both days

K2 Tuition - Jewish Learning Only

Tuition for one day per week is $1800.

Hidden

K2 link one day

Grade in September 2023*

Gender*

Female

Male

Other

What school will your child attend during regular school hours?*

As of September 2023

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

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 Information

Child'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

If yes, please describe and provide details of usual treatment:

Does your child wear or carry medical alert identification?*

Yes

If yes, please specify what is written on it:

Does your child take prescribed medication on a regular basis?*

Yes

If yes, please specify:

Allergies/Asthma

Does your child have any allergies?*

Yes

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

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

Has a doctor prescribed an inhaler for asthma?*

Prescribed asthma inhalers must be carried by the student at all times.

Yes

Has a doctor prescribed an inhaler for any other reason?*

Yes

If yes, please provide details:

Dietary Restrictions

Please 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 Considerations

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

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 detail

Family Life

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 Phone

Parent/Guardian 1 - Cell Phone*

Parent/Guardian 1 - Work Phone

Parent/Guardian 1 - Address*

Street Address Address Line 2 City Province Postal Code

Second Parent/Guardian Information

Parent/Guardian 2 - Name

First Last

Parent/Guardian 2 - Email

Parent/Guardian 2 - Home Phone

Parent/Guardian 2 - Cell Phone

Parent/Guardian 2 - Work Phone

Parent/Guardian 2 - Address

Same as Parent/Guardian 1

Street Address Address Line 2 City Province Postal Code

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 Information

Please answer the following questions to help us better understand the makeup of our Makom Afterschool community

Is anyone in the child's immediate family a member of a local synagogue?*

Yes (one parent/guardian)

Yes (both parents/guardians)

Other

If yes, please share the name of the synagogue?

Do you attend High Holiday services at a synagogue?*

Yes

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 Information

Emergency Contacts (aside from parents/guardians listed above)*

Name

Cell Phone

Relationship to child

Permissions & Waivers

The following permissions and waivers are required for enrollment in Makom ATID. If you have any questions or concerns, please contact familyed@makomto.org

Waiver*

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 Policy

Makom 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, 2023, the following portions of full tuition are non-refundable: Before June 1, 2023: 20%. Between June 1 and June 30, 2023: 40%. Between July 1 and July 31, 2023: 60%. Between August 1 and August 31, 2023: 80%. After September 1, 2023, 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

Tuition

Product Name

Price: $ 0.00 CAD

Total Tuition

Tuition Assistance*

Financial support is available! Would you like more information about applying for a bursary?

Yes please

No thank you

Financial Assistance Application*

Upon submission of this form, you will receive information about applying for financial assistance. We will be in touch to discuss bursary amounts, deposit amounts and tuition payment schedules once your financial assistance application has been reviewed.

I will complete an application for financial assistance

Payment*

Once your form submission has been processed, you will receive an email invitation to sign in to our secure payment processing site (TUIO) and set up your payments.

I understand that my registration is not complete until I have signed into TUIO and paid the deposit.

This field is for validation purposes and should be left unchanged.

JEWISHLEARNINGREIMAGINED

Makom ATID Registration

Registration Information

Medical Information

Allergies/Asthma

Dietary Restrictions

Individual Considerations

Medical Information

Allergies/Asthma

Dietary Restrictions

Individual Considerations

Second Parent/Guardian Information

Additional Family Information

Emergency Information

Permissions & Waivers

Refund Policy

Tuition

JEWISH
LEARNING
REIMAGINED