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Copy of Chavaya Registration Grades K-6th 2020-2021

Chavaya is Temple Israel of New Rochelle's Religious School program for Kindergarten - 12th Graders.
Applications must be completed in one computer session using a desktop computer or laptop. This application is not "user friendly" with PDA devices, so please use a computer to complete the application.
Complete one application per child. Full payment or first installment of a payment plan is required in order to complete the application. Registrations must be completed on or before Friday, September 4.
Contact the Chavaya Office at chavaya@tinr.org with questions.

Information About Child

Chavaya Tuition is subsidized by Temple Israel. Please consider paying the actual cost of tuition for the Temple. The difference is a tax deductible donation.

A 3% administrative fee will be added if you choose to pay by credit card.

Please click that you understand that tuition is non-refundable after Tuesday, October 27.

Registration Options-You must select ONE of the four following options

Parent Information

Education & Youth Committees

Emergency Contact Information if we can't reach a Parent or Guardian

Medical/Learning Information

Yes, my child has a medical exemption.
No, my child does not have a medical exemption, and will wear a mask while participating in Chavaya programming.

Immunization Record, COVID release form, & Community Brit (Behavior Contract)

I understand that we will need to sign and return these documents for registration to be complete.


The child listed above has my permission to engage in all Temple Israel of New Rochelle (TINR) Chavaya Programming and Youth Group activities except as noted below.

In the event that I cannot be reached in an emergency, I hereby give permission to TINR to seek emergency medical treatment and arrange necessary related transportation for my child. I hereby give permission to the physician/health care provider selected by TINR to secure and administer treatment, including hospitalization, for the person named above.

When a TINR event is not on the temple premises, I give permission for my son/daughter to be driven to and from the event by an authorized mode of transportation. I agree to indemnify and hold harmless TINR, their employees, volunteers, and members from any harm which may come to my son/daughter while in transport to or from the event, or during said event.

Please make sure the registration form is completed in its entirety and click "register."

Do you have a child in 5th-7th grade and interested in Youth Temple Basketball? Please contact the Basketball Commissioner Jeff Berenbaum at jberenbaum@optonline.net for more information.

Donation to Chavaya

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information


Please help us cover the 3% Credit card fee and select YES

For added Security please check the box below.