Sign In
My Account
Home
About
What We Do
Meet the Team
Stay in the loop
Send Us A Message
Photos
Get Involved
Families
Volunteer
Log your hours
Giving Opportunities
Programs
Calendar
All Programs
Registration & Payment for Programs
Houston Friendship 5K
Friendship Bakery
Resources
Helpful contacts
Donate
Sign In
My Account
Home
About
What We Do
Meet the Team
Stay in the loop
Send Us A Message
Photos
Get Involved
Families
Volunteer
Log your hours
Giving Opportunities
Programs
Calendar
All Programs
Registration & Payment for Programs
Houston Friendship 5K
Friendship Bakery
Resources
Helpful contacts
Donate
Torah Circle
About
Registration
Payment
Torah Circle Registration
Parent/Guardian
Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Child's Information
Name
*
First Name
Last Name
Gender
How old will your child be on October 1st, 2023?
*
Birth Date
*
MM
DD
YYYY
Has your child participated in Friendship Circle programs before?
*
Current Grade for 2023/2024
*
Does your child have any diagnoses that would impact his or her learning or being in a group environment?
*
Does your child have any other medical diagnosis we should be aware of? (Asthma, allergies, etc)?
*
Are there any sensory challenges / sensitives we need to be aware of? (Noise, textures, etc.)
*
What is your child’s preferred learning style (Hands on, modeling, being given direct instructions, reading, etc.)?
*
What is your child’s main form of communication (verbal, sign language, gestures, AAC device, PECS, etc.)?
*
What are some of your child’s favorite things to do?
*
Are there any behavioral challenges that you would like to make us aware of? (Elopement, Aggression, Rigidities, etc.), Please explain
*
Has your child ever participated in any Sunday School, Hebrew School, or Non-day School Jewish Educational program?
*
Jewish Day School
Hebrew School/Sunday School
Online Classes
Private Tutor
None, till now.
Other
Does your child read basic Hebrew?
*
We are trying to gauge what level your children are at. This is no indication that your child must know hebrew.
Yes
No
Know's the letters
Is your child potty trained?
*
Yes
Yes, with a reminder
No, not yet
Do you give the Friendship Circle permission to change your childs diaper during our care?
*
For safety there will be 2 people present at all time.
Yes, I give permission and will leave diaper, wipes, & gloves, and any other necessary materials to change my child
No, I do not give permission. I will stay in the parent room or near the location in case my child needs to be changed.
N/A
Please note: Torah Circle will be providing snacks for all the children.
Does your child have any food allergies?
*
Please use the space below to share any specific dietary needs we should be aware of.
Any other comments you would like to share?
Thank you for your registration! One of our staff members will be contacting you within 24-48 hours.
