Sign In Forgot Password

20-21 Kesher and Kabbalat Torah Registration

PLEASE LOG IN TO SHULCLOUD to see a partially completed version of this form. To log in, click the link at the top right of this window and enter your ID and password.

This is the registration form for Peninsula Sinai's two educational programs: Kesher & Kabbalat Torah. Kesher is Peninsula Sinai's K-7th grade Religious School program. Kabbalat Torah is our post-B'Nai Mitzvah program open to grades 8-12. Please note that you will need to submit a separate form for each child.


Getting Ready!

To complete the registration form, you will need:
  • your medical insurance information 
  • If your child will or may take medications while at Kesher programs and events,
    you will need to complete and submit the downloadable medical release form. Note that this form requires a physician's signature.
  • If your child receives specialized services, supports, accommodations or interventions at secular school, we'll ask you to upload any documents for our reference.
Names
Birthdays and Pronouns
Secular School

Please tell us about any medications your child will take during youth sessions (including youth group events and retreats if applicable). Even if he/she/they can take the medication independently, we need to know. 

At PSC, all food is kosher dairy in school programs. 
If your child has dietary restrictions, please tell us below.
Please tell us about allergies or other restrictions not listed above.

PSC aims to create a safe, welcoming and productive learning environment for every child. Please share information that will help us do this for your child and family.


PSC aims to include all individuals. Our youth education programs welcome all children -- whatever their learning style or distinct needs may be -- and we work toward creating meaningful, inclusive learning experiences for all.

If you have any information or concerns about your child's needs in any learning environment of which we should be aware, please indicate below. We will reach out to you for more information.
 About My Child's Learning
Please share any information described above to help us help your child, including diagnosis, condition, educational or social concern, learning difference, challenge with behavior, or any other distinctions of which we should be aware."
Please share any information described above to help us help your child.

Please choose your child's grade level and any options specific to that grade.
Mazal Tov! (Congratulations!)
Fifth grade is when Kesher begins preparing families to celebrate bar or bat mitzvah. Some children begin earlier and some children start later (and celebrate later).

Please let us know your plans or interests.
We'd love to celebrate this milestone with you at PSC as well.
We would welcome the chance to talk with you and hear your thoughts about bar or bat mitzvah decisions.
Teen Options

PSC supports youth groups!
USY membership, for 9th to 12th graders, includes dues to FRUSY (United Synagogue Youth).
adult information
Tell us about the adults associated with your child(ren).
First Adult
Please share any suggestions you have about other ways you can help.
Second Adult
We rely upon volunteer effort to make our programs run. We welcome your assistance!
Please share any suggestions you have about other ways you can help.

If we are unable to reach you or another adult listed above, provide information of other adults we can contact in case of an emergency.


Please read the information in the sections below carefully and mark your acceptance as necessary.


If and when a child requires medical attention, Kesher personnel will make every effort to reach a parent or guardian. If we are unable to reach a parent or guardian, the following instruction will remain in force unless revoked by the parent or guardian:
  • In the event of an emergency where the parent can not be reached, I hereby authorize Peninsula Sinai Congregation or its authorized representative to call my child’s physician (or another physician) for necessary care for my child in case of emergency. I agree to pay all expenses incurred. This authorizations shall remain effective from August 31, 2020 – May 31, 2021.
  • In the event of an emergency where the parent can not be reached, I further authorize Peninsula Sinai Congregation or its authorized representative to consent to any x-ray examination, anesthetic, medical or surgical diagnoses or treatment and hospital care which is deemed advisable by, and is to be rendered under the general or special supervision of any licensed physician or surgeon, whether at the said physician’s office or licensed hospital. 
  • I give this authorization in advance of any specific examination, diagnosis, treatment or hospital care being required, and in order to provide authority and power on any and all such examinations, diagnoses, treatments or hospital care which the aforementioned physician in the exercise of his/her best judgment may deem advisable.
  • Parents and guardians, jointly and separately, release Peninsula Sinai Congregation, its officers, agents, and employees from all liability for injuries, illness or property damage resulting from my family/child’s participation in Religious School and all PSC sponsored activities and agree not to make any claim or demand against them for any or all losses or damages to student/family’s person or property. I have completed the above learning and medical information to the best of my knowledge. I have read all of the above and agree to abide by it.

We often use photographs of students and families on our website or in other publicity. We do not include names or other identifying information when we use these pictures. 

  • I/we give unconditional permission to Peninsula Sinai Congregation to photograph me and/or my child(ren) and to use the photographs to publicize PSC and its programs in publications, advertisements, websites or news articles pertaining to PSC, without payment or other compensation of any kind.  
Park Permission Slip

Occasionally Kesher goes across the street to Boothbay Park for educational and/or recreational activities. This is general permission for your child to participate in those activities throughout the school year.
  • I/we give consent for my child to participate in Kesher activities at Boothbay Park. I understand that PSC does not assume responsibility or liability in case an accident occurs. I/we release PSC, its officers, directors, trustees, faculty, agents, and employees, together with parents and other volunteers, from any and all costs, demands, damages, liability, claims, causes of action, and responsibility of any nature in connection with these activities.


Deadline to Register 
To assist us in preparing for the coming school year, we ask that you register your child prior to August 15.

Tuition
Your flexible commitment to PSC includes Kesher for your children. As such, your flexible commitment form for the 2020-2021 Fiscal Year needs to be submitted in order for your child to participate in our Kesher program.
The form is located here: https://peninsulasinai.shulcloud.com/form/2020-2021-Flex.html

If you have any questions, please call or email the office: 650-349-2816 or info@peninsulasinai.org
Fri, April 26 2024 18 Nisan 5784