Makom Registration Form 2022-23

2023-2024 Makom Registration

Reserve your spot by August 20!
We are so excited you are joining us for the 2023-2024 Nefesh Education Programs year.

Please fill out this form in its entirety, and complete a separate form for each individual child.

If you have any questions, please contact our Program Director, Ellen Kennedy ekennedy@nefeshla.org
Makom Program TK-6th Grade
The word makom means “place”, and we are developing an understanding that every place can be a Jewish place. Every class is centered around the following components:
- Blessings: to learn, unpack, appreciate
- Middot: our soul traits, which we apply to real life situations
- Torah stories: examining and questioning the story behind the story; learning to interpret themes
- Jews Around the World - introducing our students to the diverse backgrounds of our families, and the global Jewish community
We also start learning to decode Hebrew, studying the Aleph-Bet and useful words that can be applied in their daily routines.

Makom TK-6th grade dates: October 8th, 2023 - June 2nd, 2024

View the Makom Schedule

Makom 5784 is generously supported by the Jewish Federation of Greater Los Angeles.
Is your Makom student returning from last year?

yesno
If you checked "yes" above and the information for your student does not need to be updated, feel free to fill out the student info boxes with N/A and proceed to vaccination card upload and payment.
Student information
Student Name

First NameLast Name
Student Date of Birth

MonthDayYear
Date
Pronouns Used
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Incoming Grade for 2023-2024 School Year
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Preferred form of communication (text/email/phone call)

Medical and Authorized Pickup Information
Does your child have any allergies or health concerns? If none, type "none."
Will your child need medication administered during Makom hours, including any medication that may be needed in an emergency?

YesNo
Please provide details of any allergy or health concerns here:
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Emergency Contact Email
example@example.com
Emergency Contact Relationship
Physician Information

First NameLast Name
Physician's Office Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Physician's Office Phone
Please enter a valid phone number.
Authorized Pickup List
I hereby give consent to Nefesh to obtain all emergency medical or dental care prescribed by a duly licensed physician (M.D.), osteopath (D.O.), or dentist (D.D.S.) for my child(ren). This care may be given under whatever conditions are necessary to preserve life, limb, or well being of the child(ren) named above.
I give permission for photos and video of my child(ren), taken during Makom, to be used for editorial or promotional purposes by Nefesh in any media, including print, online and video. The child's name will not be attached to any photo or video.

yesno
I give permission for Nefesh to share my contact information with other Makom families.

yesno

Policies

Code of Conduct

Nefesh is committed to each student’s success in learning within a caring, responsive, and safe environment that is free of discrimination, violence, and bullying. We are committed to creating a safe and productive learning environment and work to ensure that all students have the opportunity and support to develop to their fullest potential and share a personal and meaningful bond with people in our community. We encourage teachers to work with their classes to create classroom guidelines for making the class a safe space. Nefesh promotes and mandates a culture of communication, understanding, tolerance, active learning, empathy, and the assumption of goodwill. All efforts will be made by Makom teachers and parents to solve conflicts through a process of transparent, forthright, direct, and honorable communication (verbally and in writing). All communication (between parents and staff, between parents and children, between children and children, between staff and staff, and between staff and children) should fall within these parameters.

COVID Safety

Health and safety is at the forefront of everything we do. We will adjust our COVID safety procedures as the pandemic continues to unfold. Some of the following restrictions might loosen, while others might tighten. At a minimum, we will always follow guidance from government health officials though we may impose stricter procedures to keep the community as safe as possible. Our COVID safety procedures as of May 2021 include the following:
1. Require all teachers at Makom to provide proof of COVID vaccination.
2. All students, parents, and staff at Makom are required to wear face masks while on the St. Be's campus.
3. Health screenings will occur prior to students being allowed into classrooms.
4. As a condition of enrollment in Makom, families must agree to abide by the COVID-19 Nefesh Policy. Violation of the policy can lead to suspension from Makom. In case of a confirmed case of COVID among Makom participants or staff, a cohort of Makom may be required to temporarily close under LA County Department of Public Health (“DPH”) guidelines or orders. If Makom must be suspended due to guidance or orders from DPH or another government or licensing agency, tuition and fees will not be refunded. Nefesh has taken all reasonable precautions to establish safety and health protocols, however it is not possible to guarantee an infection-free environment.
5. All Makom and Teen Program participants 12 and over will need to provide proof of vaccination or documentation showing they are medically unable to receive the vaccine. For participants under 12, we are monitoring this closely and reserve the right to require vaccination at any point during the school year. Should we require vaccination, you will have 60 days to provide us with proof of vaccination.
6. Covid policy is subject to change. Final protocols will be announced at the August 21st orientation.
Vaccination Card Upload

Cancelof
Illness and Injury

Please do not send your kids to Makom if they are sick, as it puts all our staff and students at risk. When a child is seriously hurt or sick, parents will always be called. If an injury occurs where Makom staff feels emergency care is needed, paramedics will be called. Children are not allowed in school with lice or nits. Please consult your family doctor for lice control information.

Food

Makom is a nut free campus and we insist that all peanut butter, peanuts, tree nuts and tree nut products are not sent to Makom. We have made a commitment to children with allergies that we will keep them safe—failure to follow this (or any) policy can result in your child being asked to leave the program.

Assumption of Risk

Parents understand and accept the risks of becoming infected with a disease, including those related to COVID-19 or other health threats associated with their participation or their child(ren)’s participation in Nefesh's programs or entry into Nefesh's facilities, and hereby exonerate Nefesh from any and all liability for harm which may occur due to exposure to SARS-CoV-2 or COVID-19 on premises, including harm resulting from Nefesh's negligence.
Payment Info

A $400 deposit is required by to secure your child's spot. Deposits are refundable for any cancellations made before September 8th, 2023. Payment balance is due by the first day of class on October 8th, 2023.

Payment for Kin: $800

Payment for non-Kin: $1800

Payment

Makom Deposit

$400.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

2023-2024 Makom Registration

Makom Program TK-6th Grade

Student information

Parent/Guardian Information

Medical and Authorized Pickup Information

Policies

Illness and Injury

Food

Assumption of Risk

Payment Info