Nashira Registration 2025-26 - Form - Congregation Shir Tikvah

* Is your family a member of Shir Tikvah?

Please Select OneYesNo

If you are a Shir Tikvah member, please make sure you have logged into your account to access this form with additional payment options.

Finances should never be a barrier to Jewish education - we take the mitzvah of educating our children seriously and want to support all of our families. Shir Tikvah subsidizes the cost of the Nashira Education Project, and provides further financial aid scholarships for member families in need. If you would like to request a scholarship, please contact Administrative Director, JoAnn Bezodis

Non-member families are welcome to enroll their children in the Nashira Education project at the non-subsidized price. To access financial aid, we encourage you to speak with JoAnn Bezodis about Shir Tikvah's sliding-scale membership dues.

Section A: Family Contact Information

* First Name (Primary)

* Last Name (Primary)

* Relationship to Student(s) (Primary)

* Email (Primary)

* Phone (Primary)

* Street Address (Primary)

Street Address Line 2 (Primary)

* City (Primary)

* State (Primary)

* ZIP (Primary)

Secondary Contact, If Any

NoneYes, at the same addressYes, at a different addressIf there is a secondary contact, all emails and mailings will go to both contacts. In case of urgent need, the primary contact will be notified first.

First Name 2

Last Name 2

Relationship to Student(s) 2

Email 2

Phone 2

Address 2

Unit/Apt

City 2

State 2

ZIP 2

Additional Emergency Contact

Emergency Contact Phone

Relationship to student/s

Section B: Tuition Information

Earlybird tuition for member families is $552 for one student, $966 for two students, and $1,311 for three students. Earlybird tuition for nonmember families is $828 for one student, $1,449 for two students, and $1966.50 for three students.

Tuition rates increase on June 1, 2025

TOTAL AMOUNT

Amount listed is total tuition fee or total Financial Aid registration fee

Section C: Student Information

Student 1

* First Name

* Last Name

* Nickname (if applicable)

Pronouns

* Birthdate

Hebrew Name (if known)

Grade Level

Special Learning Needs

NoYes (IEP or 504)

Please let us know how our teachers can best support your child

Does your child have food allergies or medications that we should know about?

NoYes

If "yes" please list:

If there is a chance that your child will need an EpiPen, inhaler, Benadryl, etc. during school hours, please provide us with a sealed, unopened package of the medication, instructions, prescription and emergency contact information in a plastic ziploc bag with your child’s name on it.

Student 2

First Name

Last Name

Nickname (if applicable)

Pronouns

Birthdate

Hebrew Name (if known)

Grade Level

Special Learning Needs

NoYes (IEP or 504)

Please let us know how our teachers can best support your child

Does your child have food allergies or medications we should know about?

NoYes

If yes, please list

Student 3

First Name

Last Name

Nickname (if applicable)

Pronouns

Birthdate

Hebrew Name (if known)

Grade Level

Special Learning Needs

NoYes (IEP or 504)

Please let us know how our teachers can best support your student

Does your child have any food allergies or medications we should know about?

NoYes

If yes, please list

Section D: Release Forms

* Is your family willing to be included on class lists so you can connect with other families?

Please Select OneYesNo

Medical Release

By signing my name below, my child(ren) have permission to participate in the religious school of Congregation Shir Tikvah. I hereby authorize Shir Tikvah staff, or person designated by Shir Tikvah staff, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of Oregon. I understand that every effort will be made to notify a parent/guardian prior to treatment.

* Enter your name below

By typing my name, I confirm I have read, understand and agree to the above.

Media Release

From time to time your child’s photo may be taken in our classrooms or special events. We use these photos in the synagogue newsletter, in the Week's Worth, the Nashira notes as well as our public Facebook page.

* I give my permission for my child(ren)'s photo to be used:

Please Select OneOn any materialsOn specific materials with my permissionI do not give my permission for my child’s image to be used

Section E: Volunteering

Raising and educating Jewish kids is a collaboration between parents, teachers and the broader community. As family members, you are your children's first and best example of living a Jewish life. Your presence at the Nashira Project makes a powerful statement to your children that Jewish learning is a lifelong process and that we are all on the same team in creating these experiences for them.

We understand that families are busy with the needs of their many overlapping communities. We are deeply appreciative of your support of Shir Tikvah and the Nashira Project.

Ongoing Opportunities (check all that apply)

Hebrew Tutor for 4th GradeDoor Greeter/Safety

Limited Engagements (check all that apply)

Any other skills or talents you might be willing to share?