CJLL School Registration Form 2025-26 - Non-Members - Form

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CJLL School Registration Form 2025-26 - Non-Members

2025-2026 School Year

* Family Name

* Number of Parents/Guardians on the account

* First Name

* Last Name

* Email

* Cell Phone

Work Phone

* Address

* City

* Postal Code

* First Name

* Last Name

* Email

* Cell Phone

* Home Phone

Work Phone

* Does parent/guardian 2 live at the same address as parent/guardian 1?

* Parent 2 Address

* Parent 2 City

* Parent 2 Postal Code

* Are you a current Member of Temple Emanu-El?

* How many children are registering for school?

Child 1 First Name

Child 2 First Name

Child 3 First Name

Child 1 Last Name

Child 2 Last Name

Child 3 Last Name

Child 1 Hebrew Name

Child 2 Hebrew Name

Child 3 Hebrew Name

Child 1 Birthdate

Child 2 Birthdate

Child 3 Birthdate

Child 1 Gender

Child 2 Gender

Child 3 Gender

Child 1 Public/Private/Day School

Child 2 Public/Private/Day School

Child 3 Public/Private/Day School

Child 1 Grade Entering in Fall 2025

Child 2 Grade Entering in Fall 2025

Child 3 Grade Entering in Fall 2025

* Child 1 - Health Card #

* Child 2 - Health Card #

* Child 3 - Health Card #

Child 1 Allergies and Symptoms of an Allergic Reaction

Child 2 Allergies and Symptoms of an Allergic Reaction

Child 3 Allergies and Symptoms of an Allergic Reaction

Child 1 - Does your child carry an EpiPen

Child 2 - Does your child carry an EpiPen

Child 3 - Does your child carry an EpiPen

Child 1 - Is your child up to date with his/her non-Covid vaccinations?

Child 2 - Is your child up to date with his/her non-covid vaccinations?

Child 3 - Is your child up to date with his/her non-covid vaccinations?

Does Child 1 require and take any medication?

Does Child 2 require and take any medication?

Does Child 3 require and take any medication?

Child 1 - Medication - Name, dosage, how stored and for what condition(s)

Child 2 - Medication - Name, dosage, how stored and for what condition(s)

Child 3 - Medication - Name, dosage, how stored and for what condition(s)

The Center for Jewish Living & Learning is committed to fostering an inclusive environment, helping each child meaningfully participate in Jewish life. The following questions will allow us to cater our program to the needs and abilities of your child.

Child 1 - Does your child receive any accommodations at their secular school (example: an IEP)? If so, what measures can be taken by the educators in our program to insure your child has a positive experience?

Child 2 - Does your child receive any accommodations at their secular school (example: an IEP)? If so, what measures can be taken by the educators in our program to insure your child has a positive experience?

Child 3 - Does your child receive any accommodations at their secular school (example: an IEP)? If so, what measures can be taken by the educators in our program to insure your child has a positive experience?

Child 1 - What other information can you provide that would help us welcome your child? (i.e., challenges, special needs, health issues,etc.)

Child 2 - What other information can you provide that would help us welcome your child? (i.e., challenges, special needs, health issues,etc.)

Child 3 - What other information can you provide that would help us welcome your child? (i.e., challenges, special needs, health issues,etc.)

Emergency Contacts: Please provide two emergency contacts, should we not be able to reach a parent.

* Emergency Contact 1

* Phone #

* Emergency Contact 2

* Phone #

We value community and try to encourage relationships between families and students. By checking off this box, you agree to have your contact information available for distribution within the Centre to assist with play dates, carpool arrangements, party invitations, etc.

I agree to have my information in this section shared within the Centre.

How would you prefer we communicate and get information to you?

* Which Email?

* Which Phone?

* Media Release Policy: We are very proud of the incredible things that happen at The Centre! Throughout the school year, there are many opportunities and projects that lend themselves to being photographed and displayed in our school (and possibly in our Temple Bulletin and website). Also, some of our courses might include the children being videotaped.

The Centre for Jewish Living & Learning has a number of students who suffer from severe nut allergies. Even trace amounts of a problem food can cause a life threatening anaphylactic reaction.

We all would appreciate your help in maintaining a safe community by keeping, all nuts and nut products out of the school. This includes peanuts, walnuts, cashews, almonds and all other tree nuts. Please read all food product labels carefully. "Accidents" happen when foods labelled "may contain" or "traces of" are brought to school. Our goal is to prevent allergic reactions and awareness is the key. We appreciate your help in making the school safe for every student.

While we strive to be a nut aware facility we cannot guarantee that your child will not come into contact with products containing nuts. While every reasonable effort will be made to provide a nut aware environment at Temple Emanu-El, Temple Emanu-El, its employees, members and students cannot be held responsible, and the ultimate responsibility lies with the parent and student to ensure their safety. It is therefore important that a child with serious allergies carries an EpiPen with him/her, and pays attention to what he/she is eating.

* By checking this box, I confirm that I have read the above and am aware of the Centre's nut awareness policy.

By checking this box, I confirm that I have read the above and am aware of the Centre's nut awareness policy.

* Throughout the school year, a variety of events take place at facilities off school property. These activities include, but are not limited to, field trips, volunteer experience programs, courses and other sponsored events. In most cases, students require transportation to and from these facilities. Transportation will be accomplished by: 1.) Students riding in a personal vehicle driven by an authorized Trip Driver, including but not limited to, a volunteer, teacher or other employee of The Centre for Jewish Living & Learning. 2.) School bus/taxi. I hereby give permission for my child(ren) to be transported to and from an authorized Centre event using the following modes of transportation:

Ride in a private vehicle operated by a volunteerRide in a private vehicle operated by an employee of The Centre for Jewish Living & LearningRide in a school bus or taxi

Thu, September 18 2025 25 Elul 5785

120 Old Colony Road, North York, ON M2L 2K2
416.449.3880
info@templeemanuel.ca

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