SULAM - TEEN PROGRAM SELECTION FORM 2019-2020
Qty
Description
Amount
Total

$550.00
---
Saturday 5:30-10:00pm
Meets once a month

$250.00
---
Select only if this is the second or subsequent program per student.


$550.00
---
Sunday 1:00-4:00pm
Meets once a month

$250.00
---
Select only if this is the second or subsequent program per student.


$550.00
---
Sunday 12:00 - 3:30pm
Meets twice a month

$250.00
---
Select only if this is the second or subsequent program per student.
Qty
Description
Amount
Total

$1,075.00
---
(includes the $225 ceremony fee)
Sunday 12:00 - 1:30pm
Meets twice a month

$550.00
---
Monday 6:40 - 8:00pm
Meets weekly

$250.00
---
Select only if this is the second or subsequent program per student.
Qty
Description
Amount
Total

$550.00
---
Thursday 6:30 - 8:00pm
Meets twice a month

$250.00
---
Select only if this is the second or subsequent program per student.

$0.00
---
Thurs. 8:00 - 9:00am - Meets twice a month
Qty
Description
Amount
Total

$550.00
---
Wednesday 6:30 - 8:00pm
Meets twice a month

$250.00
---
Select only if this is the second or subsequent program per student.

$180.00
---
Wednesday 6:15 - 8:00pm
(Includes Yoga)
Meets twice a month

$360.00
---
Wednesday 6:15 - 8:00pm
(Includes Yoga)
Meets twice a month

$0.00
---
Various Dates and Time

$0.00
---
Tuesday 6:30 - 8:00pm
3 Sessions Fall/Winter

$0.00
---
Various Dates and Time
non-Temple Sinai members
Qty
Description
Amount
Total

$100.00
---
For non-Temple Sinai members who are members of another congregation.

Note: A 3% Credit Card Processing Fee has been added to your total.

Total: $0.00
Future Commitment: $0.00

To be enrolled in our SULAM - Teen Programs, students must be members in good standing at Temple Sinai or at another congregation.

    • There is an additional $100 per annum administrative fee for non-Temple Sinai members who are members of another congregation.
  1. Confirmation fee includes the $225 ceremony fee. The trip to the Religious Action Center will be billed separately.
  2. Payments can be made by check, made out to Temple Sinai, or by credit card online at https://mysinai.org/content/online-credit-card-payment-form.
  3. As always, payment plans and financial aid are available. Please contact our Executive Director at 516.621.6800 x105.
  4. All programs include lunch or dinner at each session, except Teen Chazak.
  5. Registration for TSPN must be submitted by Monday, August 19, 2019.
  6. 8TH GRADE B’NEI MITZVAH STUDENTS MUST BE ENROLLED IN A TEEN PROGRAM AT THE TIME OF THEIR BAR/BAT MITZVAH.
Registrant Information
Programs this teen is registering for.
Check all that apply:
Havdallah for Hunger - Sat. 5:30-10:00pm
TSPN - Sun. 1:00-4:00pm
Hand in Hand - Sun. 12:00-3:30pm
Confirmation - Sun. 12:00-1:30pm
Tzedukah Foundation - Mon. 6:40-8:00pm
Leadership Academy- Tue. 6:30-8:00pm
Leadership Academy - Thurs. 6:30-8:00pm
SORTY Board - Thurs. 8:00-9:00pm
Cooking Classes - Wed. 6:30-8:00pm
Teen Chazak - Wed. 6:15-8:00pm
Senior Seminar - Various dates and time
Israel Seminar - Tues. 6:30-8:00pm
Zikaron Basalon - Various Dates and Time
What are your teen’s plans for summer 2020?
Check all that apply:
Camp
Teen Tour
Service Project
Home
College Program
Still Looking
About award-winning summer travel & volunteer programs such as Mitzvah Corps, Kutz Leadership Camp, or NFTY in Israel.
If so, will you be leaving an EpiPen or other medication with us?
If so, please explain.
(e.g. family illness, recent divorce, remarriage, new birth?) If so, please explain.
If you would like to discuss any concerns privately with Temple Sinai’s Director of Youth Engagement, please call Lulu Belferder at 516.621.6800 x 116.

PHOTO RELEASE:
In an effort to inform the community about Temple Sinai's OUTSTANDING Teen Programs, photographs of the teens (without names attached) may be used for publicity in brochures, the website and in other media. If you DO NOT want your teen to be included in photographs connected with our programs, please check the box below.
Check ONLY if you DO NOT want your teen’s photo published.



TEMPLE SINAI IS A NO-BULLYING ZONE

Bullying is when one person deliberately and repeatedly intimidates, harms, or publicly embarrasses another. Bullying can appear in many different ways:

Physical hitting, kicking, shoving, mean hand gestures
Verbal teasing, taunting, name calling, threatening remarks, spreading rumors
Cyber using technology to threaten, insult or harass
Indirect excluding or intentionally leaving a person out, getting someone else to bully another person, gossiping

At Temple Sinai we have no tolerance for bullying of any kind. Our staff is trained to identify bullying and to report any incidents of bullying to the Director of Youth Engagement. At the beginning of the year and throughout the year, our teens will be taught about what it means to create a sacred community where everyone is treated with kindness and dignity, what to do when they feel they are being bullied, what to do when they witness bullying, and how bullying has no place at Temple Sinai.

Sometimes students confuse other behaviors with bullying. No doubt, students will say things to one another which can be mean or hurtful, and whether these things are said intentionally or unintentionally, they still hurt.

Our responsibility at Temple Sinai is to teach our students what to do when they feel they are being bullied, and what to do when they see somebody else being bullied. We encourage our students to speak up and seek help if and when bullying occurs. At Temple Sinai we follow the Jewish ethic that teaches that we are all responsible for one another, including each other’s feelings. Every student will be taught that every teen has a right to be here and to be treated with respect, and that when we see another person being bullied, we should not be bystanders and stand silent, but we should report the abuse to an adult who can stop it.

We also want to make sure that our students do not participate in any form of cyber bullying. Cyber bullying is using technology to threaten, insult or harass. Technologies like cell phones and the Internet allow for aggressive expression toward others that doesn’t rely on physical strength or even physical contact. A person who cyber bullies can aggressively and anonymously spread rumors, threats, hate mail, or embarrassing photos through text messages, emails, or instant messages.

You can read more about bullying at: stopbullying.gov or eyesonbullying.org

Please read and discuss the bullying pledge (see below) with your teen. Please make sure that both of you sign it and return it to us. We hope that this will further impress upon our students that when we say Temple Sinai is a No-Bullying Zone – we mean it!

* Adapted from URJ Camp Eisner’s No-Bullying Zone Policy, 2012
By checking this Anti-Bullying Pledge box, I agree to uphold the following Jewish values:
  1. Treat others respectfully – kavod
  2. Include those who are left out – dibuk chaverim
  3. Never bully or tease others – derech eretz
  4. Not participate in gossip – lashon hara
  5. Never watch, laugh or join in when someone is being bullied – lo ta-amod al dam rayecha
  6. Tell a teacher when I suspect or witness bullying – ometz lev
  7. Help those who are being bullied by having the courage to be an ally - rachmanut
  8. Never participate in any form of cyber bullying by using my computer or cell phone to threaten, insult or harass any of my fellow students. If I do witness any cyber bullying, I will tell a parent immediately - lo ta-amod al dam rayecha, “Do not stand idly by,” Leviticus 19:16.
I understand that bullying has no place at Temple Sinai. I also understand that the Director of Youth Engagement is the final judge regarding how a bullying incident will be dealt with, and that bullying behaviors will generally be dealt with as follows:

1st Incident: Teen and Parent will be called in to meet with Director to discuss next steps, which will be at the discretion of the Director.
2nd Incident: Teen will be suspended from his/her program and will instead meet privately with the Director of Youth Engagement or a member of our staff for a period of time to be determined by the Director, in consultation with our clergy, until it has been determined that the student can come back into the regular program and exhibit proper behavior.
By checking this box, I agree that I have read and discussed the importance of Temple Sinai’s Anti-Bullying policy with my teen. He/she understands that Temple Sinai is a No-Bullying Zone, and will uphold the values inherent in the agreements stated above.
Parent Information


RemindThe Department of Youth Engagement utilizes a free, one-way texting service called Remind. It is used by 35 million teachers, students and parents worldwide. 1 in 2 public schools in the United States actively use this service. Unlike group messaging, Remind is a one-way service that keeps phone numbers anonymous, and won’t flood your phone with everyone else’s responses. We love it and think you will too. (And if you don’t, you can easily cancel at any time.)
Payer Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
Your Payment Information

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