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A Historic Progressive Conservative Congregation in Valley Village, CA
A Dynamic Jewish Early Childhood Center Serving Children Ages 6 Weeks to Entering Pre-K
A Jewish Day School serving students in Grades TK-6
A Historic Progressive Conservative Congregation in Valley Village, CA

Teen Programs - Student Registration 2022-23

Teen Programs

The Trana and Ronald Labowe Confirmation/Seminar Institute 

Teen Programs Run on Tuesday Nights from 6-8pm

September 6th=First Day of Class for Kitah Zayin (7th) & Derekh Academy (8th/9th) (community dinner included!)
October 11th=First Day of Class for the Confirmation Seminar Institute (10th-12th) (Fiesta in the Sukkah Family Dinner by RSVP and payment only) 


A full calendar will be available in the month of August.
2022-2023 Tuition:
Kitah Zayin (7th): $900.00 

Derekh Academy (8th/9th): $900.00 

Confirmation Seminar Institute (10th-12th): $900.00  

Financial Assistance
Financial assistance is available on an as-needed basis. Please contact Rabbi Holtzman for more information.

 

Adat Ari El Membership

In selecting your membership level this year, it is important to acknowledge that the unique experiences your children have on the Adat Ari El campus, along with their Jewish education, would not be possible without meaningful annual membership contributions. Please consider giving as generously as possible towards your synagogue membership. Unlike the tuition you pay, your annual membership contribution is tax-deductible, and may be paid in quarterly or monthly installments. 

 

Your required pledge helps provide:

  • Campus security – the guards that welcome you every day and protect your families, security monitoring system and emergency procedures
  • Facilities and maintenance – keeping our grounds clean and safe
  • Scholarships for camp, youth group, and other significant Jewish experiences

A separate membership form will need to be filled out on our website once you have completed this form, if you have not already filled it out.

Please provide the following information about your student


Please provide the following parent/guardian contact information for your student

Parent/Guardian 1


Parent/Guardian 2



Please provide us with the information for persons authorized to pick up your student

Please list at least 1 person that is NOT a parent/guardian. 


Please provide us with your student's emergency contact information (other than parent/guardian)

We will always attempt to contact parent or guardian first in an emergency.

Please provide us with an out-of-state emergency contact for your student


Please note that pursuant to SB 277, all students are required to have received age-appropriate immunizations to attend our programs.

Please provide us with information regarding your student's medical information

If your child needs to have medications in our office, such as an Epi-Pen, you will need to bring it to us with the full prescription information and the name and contact number of the prescribing physician.


Please provide us with information regarding your student's individual learning needs

Please bring or send in additional documentation or information or the name and contact information of any specialist with whom your student/family may work. Please also complete the Individual Student Needs Form.


Field trip release

I/We give permission and consent to the Youth Department and its employees and agents to take my/our child on field trips as part of the normal curriculum and, to the extent possible, absolve the Youth Department and Adat Ari El and its employees and agents from any liability for personal injury to my/our child or property damage, except for injuries resulting from gross negligence of the Youth Department, Adat Ari El, or their employees or agents. I/We understand that for all field trips that require transportation, I/We will receive a permission slip. Unless I/We have signed this form and the permission slip, my/our child will not be permitted to attend the field trip. 


Deposit and Signature

By signing below, you are enrolling your child in the Confirmation/Seminar Institute for the 2022-23 school year. Enrollment is not complete without: submission of this form, the tuition contract (which will be emailed upon form submission), tuition deposit, and membership pledge for Adat Ari El. 

Please note: If you have not made a Synagogue pledge by July 1, 2022 we will not be able to enroll your student(s).

With this application I agree to pay the $100 non-refundable deposit on the following screen.
Thu, October 3 2024 1 Tishrei 5785