Registration Form

Let the next extraordinary Jewish enrichment adventure begin.

We love to hear from you. Please be in touch! 708-529-5237 or admin@jewishenrichment.org.

Only one form per family is necessary.

Registration Form 2022-2023

Parent/Guardian Name

First

Last

Parent/Guardian Pronouns

Parent/Guardian E-mail

New Family?

Yes (Welcome!) - Please complete the Family, Health and Emergency Form!

No (We are so glad to have you back!)

How many children are you enrolling? *

Child 1 First Name *

Child 1 Last Name *

Child 1 Preferred Pronouns

We require all eligible children to be fully vaccinated, including a booster shot, unless they qualify for a medical or religious exemption. What is your child's vaccination status? *

Child 1 Grade for Fall 2022 *

Child 1: Shalom Chaverim (for ages 0-3) runs most Sunday mornings from 10:00 AM- 11:00 AM. *

Sign me up!

Child 1: Nursery children may enroll for one or more days. *Sundays, Mondays, Wednesdays, and Thursday are currently full for N/K children. Please be in touch with Sara to discuss options for enrollment: sarag@jewishenrichment.org.

Tuesday (after school - 5:45pm)

Child 1: Kindergarten children must enroll in at least one "A" day (Tuesday) and one "B" day. *Sundays, Mondays, Wednesdays, and Thursdays are full for N/K children. Please be in touch with Sara to discuss options for enrollment: sarag@jewishenrichment.org. *

Tuesday (A) - (after school - 5:45pm)

Child 1: 1st, 2nd, & 3rd grade children must enroll in at least one "A" day (Sunday or Tuesday) and one "B" day (Wednesday). *Mondays and Thursdays are full for 1st-3rd grade children. *

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Child 1: 4th & 5th grade children must enroll in at least one "A" day (Sunday or Tuesday) and one "B" day (Wednesday or Thursday). *Mondays are full for 4th & 5th grade children. *

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Thursday (B) (after school - 5:45pm)

Child 1: 6th graders may enter the B-Mitzvah program, choose to stay in Sunday/Afterschool, or both. If staying in Sunday/Afterschool, please make a selection of A & B days here.

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Thursday (B) (after school - 5:45pm)

Child 1: B-Mitzvah Program (6th & 7th Grade) (Wednesdays, 4:30 - 6:00pm) *

Sign me up!

Child 1: Options for 8th Grade-High School *

Sign me up for the Arazim Program! (Wednesdays, 6:00 - 7:30pm)

I'd love to learn more about other opportunities to get involved!

Child 2 First Name

Child 2 Last Name

Is this child new to the Jewish Enrichment Center? Please write in this child's Jewish name (if applicable) and complete the Family, Health, and Emergency Information Form..

Child 2 Preferred Pronouns

We require all eligible children to be fully vaccinated, including a booster shot, unless they qualify for a medical or religious exemption. What is your child's vaccination status?

Child 2 Grade for Fall 2022

Child 2: Shalom Chaverim (for ages 0-3) runs most Sunday mornings from 10:00 AM- 11:00 AM. *

Sign me up!

Child 2: Nursery children may enroll for one or more days. *Sundays, Mondays, Wednesdays, and Thursday are currently full for N/K children. Please be in touch with Sara to discuss options for enrollment: sarag@jewishenrichment.org. *

Tuesday (after school - 5:45pm)

Child 2: Kindergarten children must enroll in at least one "A" day (Tuesday) and one "B" day. *Sundays, Mondays, Wednesdays, and Thursdays are full for N/K children. Please be in touch with Sara to discuss options for enrollment: sarag@jewishenrichment.org. *

Tuesday (A) - (after school - 5:45pm)

Child 2: 1st, 2nd, & 3rd grade children must enroll in at least one "A" day (Sunday or Tuesday) and one "B" day (Wednesday). *Mondays and Thursdays are full for 1st-3rd grade children. *

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Child 2: 4th & 5th grade children must enroll in at least one "A" day (Sunday or Tuesday) and one "B" day (Wednesday or Thursday). *Mondays are full for 4th & 5th grade children. *

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Thursday (B) (after school - 5:45pm)

Child 2: 6th graders may enter the B-Mitzvah program, choose to stay in Sunday/Afterschool, or both. If staying in Sunday/Afterschool, please make a selection of A & B days here.

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Thursday (B) (after school - 5:45pm)

Child 2: B-Mitzvah Program (6th & 7th Grade) (Wednesdays, 4:30 - 6:00pm) *

Sign me up!

Child 2: Options for 8th Grade-High School *

Sign me up for the Arazim Program! (Wednesdays, 6:00 - 7:30pm)

I'd love to learn more about other opportunities to get involved!

Child 3 First Name

Child 3 Last Name

Is this child new to the Jewish Enrichment Center? Please write in this child's Jewish name (if applicable) and complete the Family, Health, and Emergency Information form.

Child 3 Preferred Pronouns

We require all eligible children to be fully vaccinated, including a booster shot, unless they qualify for a medical or religious exemption. What is your child's vaccination status?

Child 3 Grade for Fall 2022

Child 3: Shalom Chaverim (for ages 0-3) runs most Sunday mornings from 10:00 AM- 11:00 AM. *

Sign me up!

Child 3: Nursery children may enroll for one or more days. *Sundays, Mondays, Wednesdays, and Thursday are currently full for N/K children. Please be in touch with Sara to discuss options for enrollment: sarag@jewishenrichment.org. *

Tuesday (after school - 5:45pm)

Child 3: Kindergarten children must enroll in at least one "A" day (Tuesday) and one "B" day. *Sundays, Mondays, Wednesdays, and Thursdays are full for N/K children. Please be in touch with Sara to discuss options for enrollment: sarag@jewishenrichment.org. *

Tuesday (A) - (after school - 5:45pm)

Child 3: 1st, 2nd, & 3rd grade children must enroll in at least one "A" day (Sunday or Tuesday) and one "B" day (Wednesday). *Mondays and Thursdays are full for 1st-3rd grade children. *

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Child 3: 4th & 5th grade children must enroll in at least one "A" day (Sunday or Tuesday) and one "B" day (Wednesday or Thursday). *Mondays are full for 4th & 5th grade children. *

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Thursday (B) (after school - 5:45pm)

Child 3: 6th graders may enter the B-Mitzvah program, choose to stay in Sunday/Afterschool, or both. If staying in Sunday/Afterschool, please make a selection of A & B days here.

Sunday (A) - (9:00am - 11:45am)

Tuesday (A) - (after school - 5:45pm)

Wednesday (B) (after school - 5:45pm)

Thursday (B) (after school - 5:45pm)

Child 3: B-Mitzvah Program (6th & 7th Grade) (Wednesdays, 4:30 - 6:00pm) *

Sign me up!

Child 3: Options for 8th Grade-High School *

Sign me up for the Arazim Program! (Wednesdays, 6:00 - 7:30pm)

I'd love to learn more about other opportunities to get involved!

Photo Release: I grant permission for my child’s/children’s photo (without their name) to be included in Jewish Enrichment Center printed and online materials. *

Yes

But wait, there's more! In addition to two days per week of Jewish enrichment, we plan to offer Hebrew 1:1 sessions for 1st-5th graders. Pricing will be 30 sessions for $950 (for families enrolled in Sunday/afterschool program) / $1050 (Hebrew only).

Sign my child(ren) up, please!

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Let the next extraordinary Jewish enrichment adventure begin.

Enrollment Dates for Fall 2022

Help us meet our fundraising goals this year! Donate now to our end of the year fundraiser.

Calendar

Catch the Latest Blog Posts

Check out our Instagram!

jewishenrichmentcenter

Donate Now!

Phone: 708-529-5237

Copyright

Registration Form

Let the next extraordinary Jewish enrichment adventure begin.

Enrollment Dates for Fall 2022

Help us meet our fundraising goals this year! Donate now to our end of the year fundraiser.

Calendar

Catch the Latest Blog Posts

Check out our Instagram!

jewishenrichmentcenter

Donate Now!

Phone: 708-529-5237

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Copyright