Virtual Enrollment (1st-5th Grade)

Child's First Name *

Child's Last Name *

Does your child have a Jewish name? If so, please write it here, or just write "none." *

Who does your child live with? *

Where does your child go to school? *

Grade Level for Fall, 2020 *

Child's Birthdate *

At what time was your child born? (We'll use this information to figure out your child's Hebrew birthday.) *

Names and ages of child's siblings *

Please share the name, address, and email of grandparent(s) and/or special friends who would like to be involved with your child's experiences at the Jewish Enrichment Center. *

Parent/Guardian Information

Parent/Guardian 1 First Name *

Parent/Guardian 1 Last Name *

Parent/Guardian 1 Email *

Parent/Guardian 1 Mobile *

Parent/Guardian 1 Profession *

Parent/Guardian 1 Work Phone *

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 Mobile Phone

Parent/Guardian 2 Profession

Parent/Guardian 2 Work Phone

Address

Home Address *

Home Address

City

State/Province

Zip/Postal

Home Phone Number

Should mail also be sent to another address (e.g., a second parent)? If so, please note the address below.

City

State/Province

Zip/Postal

Country

Health Information

Please let us know about any medical conditions, learning styles, or other information that would help us partner effectively with your child in online learning. If not applicable, please write "none." *

Jewish Community

Does your family choose to affiliate with a synagogue, if so which one? The Jewish Enrichment Center is committed to enrolling a diverse set of families. This information is voluntary and will be used for statistical purposes only. If you do not wish to participate, write N/A. *

Registration Information

On what days of the week would you like your child to gather online with peers? Families with a first through fifth grade child should select one of the following options: *

Monday/Wednesday

Monday/Thursday

Tuesday/Wednesday

Tuesday/Thursday

Photo release: I grant permission for my child's photo, without their name, to be included in Jewish Enrichment Center printed and online materials. *

Yes

Tuition Payment Options (please choose one): *

1. Pay in full by September 1, 2020.

2. Pay in three installments: September 1, December 1, and March 1.

How did you hear about the Jewish Enrichment Center?

Is there anything else you'd like us to know about your child?

By checking the box below, I confirm that all the information in this form is correct and that I understand the tuition commitments and deadlines associated with enrolling my child. *

Yes! Enroll my child.

reCAPTCHA

Donations Welcome!

Enroll Today!

Come play in our new family program for ages 0 – 2 and 3 – 5! We’ll send home beautiful, authentic Jewish items for discovery and play. Registration form here.

New to the Enrichment Center? Local and national families register here.

Returning for another extraordinary year? Click here to register.

Calendar

Click here to see our Distance Learning Calendar.

…and check your email for the password!

All upcoming Sunday morning sessions are cancelled due to the rise in case positivity rate and new regulations in the City of Chicago and State of IL.

Check out our Instagram!

jewishenrichmentcenter

These children in our Sunday morning Family Progra

The children in Nitzanim have been exploring new w

Oh, how this picture perfectly captures how our ea

Jewish #playkits for ages 0-5 just in time for Cha

Follow on Instagram

Virtual Enrollment (1st-5th Grade)

Parent/Guardian Information

Address

Health Information

Jewish Community