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2025-2026 Kesher 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 Kesher, PSC's K-7th grade learning community. 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 that can be found below. Note that this form requires a physician's signature.
  • If your child receives specialized services, support, accommodations or interventions at secular school, we'll ask you to upload any documents so that we can most effectively serve your child.
Names
Birthdays and Pronouns
School Information
B' Mitzvah Program

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 would welcome the chance to talk with you and hear your thoughts about bar or bat mitzvah decisions.
Teen Options
Medications

Please tell us about any medications your child will take during youth sessions (including youth group events and retreats if applicable). Even if they can take the medication independently, you will need to complete and submit the downloadable medical release form. Note that this form requires a physician's signature.
Diet & Allergies

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.
adult information
Tell us about the adults associated with your child(ren).
First Adult
Second Adult
Kesher Community
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.
Child Insurance Information
PSC youth education programs welcome all children, whatever their learning style or distinct needs may be.  If you have any information or concerns about your child's needs in any learning environment, please indicate below. We will reach out to you for more information.
Please share any information regarding your child's learning needs, including diagnosis, educational or social concern, learning difference, challenge with behavior, or any other distinctions of which we should be aware.


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

Emergency Protocols/Permission to Seek Treatment

If and when a child requires medical attention, PSC 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 cannot 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. I agree to pay all expenses incurred. This authorizations shall remain effective from July 1 through the school year until June 30.
  • In the event of an emergency where the parent cannot 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.
Emergency Release/Assumption of Risk
  • 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 any 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.
  • By participating in PSC’s youth programs you understand, acknowledge, and agree, on behalf of yourself and persons for whom you are legally responsible, that attendance at PSC’s youth programs involves the potential for exposure to COVID-19.  By participating and attending, you willingly assume such health risk and assume full responsibility.  In consideration of participation and attendance at PSC’s youth programs, you hereby release, waive, and agree not to sue PSC with respect to any claim of a Covid-19 infection arising from participation in PSC’s youth programs.
Photography Release

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 unless I have filled out the separate opt out form.  
You must accept this, but can opt out of photos by filling out this form: https://peninsulasinai.shulcloud.com/form/photo-opt-out.html
Park Permission Slip

On occasion, Kesher, Kabbalat Torah, & youth group gatherings may go 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 PSC Youth 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 July 31.

Tuition
Your membership commitment to PSC includes the operating costs of our youth programs. As such, your membership commitment form for the 2025-2026 Fiscal Year needs to be submitted in order for your child to participate in Kesher and/or Kabbalat Torah programs.
The form is located here: https://peninsulasinai.shulcloud.com/form/2025-2026-membership-commitment-form.html

If you have any questions, please call or email the office: 650-349-2816 or info@peninsulasinai.org
Fri, September 5 2025 12 Elul 5785