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RTR Religious School Registration 2020-2021
The place where Joyful Judaism comes to life!
Email *
Any other adult's email you would like Religious School correspondence to go to.
Parent's Names
Child's Name *
Child's Grade as of September 2020 *
With whom does this child reside? *
Emergency Contact and Phone Number *
Please include their name, cell phone, and relationship to child/children.
I give permission for my emergency contact to pick up my child/ren. *
1st Child's Email and Cell Phone Number
If applicable.
I furthermore give permission for photographs, slides, or videos of my child(ren) to be used for our website, public relations purposes, and promotion *
Does this child have an IEP, 504, OHD documentation, or any educational classifications? *
If you have an IEP or other educational documentation we need to review to plan your student's academic program, please provide via email to brad@rtrny.org
Is your family part of a carpool? *
If yes, my family participates in a carpool with the following families:
My child/ren may not accept/receive rides from the following people:
Is your 1st child taking any medication? *
What medications does your 1st child take?
Does your 1st child have any allergies (food, environmental, medication, etc)? *
Please specify and list all allergies your 1st child has:
Does your 1st child have any medical conditions of which we should be aware? *
What medical conditions does your 1st child have?
IF YOU DON'T HAVE ANY MORE CHILDREN TO REGISTER, PLEASE SKIP TO THE BOTTOM TO SUBMIT YOUR REGISTRATION
2nd Child's Name
2nd Child's Email and Cell Phone Number
If applicable.
2nd Child's Grade as of September 2020
Does this child have an IEP, 504, OHD documentation, or any educational classifications?
If you have an IEP or other educational documentation we need to review to plan your student's academic program, please provide via email to brad@rtrny.org
Clear selection
Is your 2nd child taking any medication?
Clear selection
What medications does your 2nd child take?
Does your 2nd child have any allergies (food, environmental, medication, etc)?
Clear selection
Please specify and list all allergies your 2nd child has:
Does your 2nd child have any medical conditions of which we should be aware?
Clear selection
What medical conditions does your 2nd child have?
IF YOU DON'T HAVE ANY MORE CHILDREN TO REGISTER, PLEASE SKIP TO THE BOTTOM TO SUBMIT YOUR REGISTRATION.
3rd Child's Name
3rd Child's Email and Cell Phone Number
If applicable.
3rd Child's Grade as of September 2020
Does this child have an IEP, 504, OHD documentation, or any educational classifications?
If you have an IEP or other educational documentation we need to review to plan your student's academic program, please provide via email to brad@rtrny.org
Clear selection
Is your 3rd child taking any medication?
Clear selection
What medications does your 3rd child take?
Does your 3rd child have any allergies (food, environmental, medication, etc)?
Clear selection
Please specify and list all allergies your 3rd child has:
Does your 3rd child have any medical conditions of which we should be aware?
Clear selection
What medical conditions does your 3rd child have?
A copy of your responses will be emailed to the address you provided.
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