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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Registration Form

Let the next extraordinary Jewish enrichment adventure begin.

In this section

Phone: 708-529-5237

Registration Form

Let the next extraordinary Jewish enrichment adventure begin.

In this section

Phone: 708-529-5237

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