BJEP Enrollment 2023-2024

BJEP Enrollment 2023-2024

Welcome, so glad you have arrived! Thank you for taking the time to complete the BJEP enrollment form so we learn about you and your child(ren). Please be prepared to upload a recent photo of your family. All personal data is confidential and only for BJEP's internal records. We estimate this will take about 15 min or so. So excited you are here....
Let's Begin! Are you new to BJEP or returning family?
How did you hear about BJEP?

Other
If referred by a BJEP family, please list their name so we can thank them!

Student #1 Name

First NameMiddle NameLast Name
Classroom Student #1 (Grade as of September)
Birth Date

MonthDayYear
Gender
Student #1 / Student's Preferred Pronoun
Student #1 / Tell us about your child's preferred learning style and needs. If your child has an IEP or other learning accommodations set up, note here, and our Education Director will reach out for a chat.
Student #1 / List one or two of the activities your child loves and gets excited about. Maybe it's slime, or science. Sports, which one(s)? Hip hop? Finger painting ? Learning about history, or space, bees or whales? How about something else? This information will help us tailor our activities to best engage our students, especially for electives and fun, hands-on activity stations at community-wide events.
Student #1 - Allergies. List allergies here, food or other, that may require the use of an EpiPen, other. We invite students to bring a water bottle and small snack on Sundays, but sometimes, we offer food at all-community events. Or, type none.
Do you have another child to enroll ?

Student # 2 Name

First NameMiddle NameLast Name
Classroom Student #2 (Grade as of September)
Birth Date

MonthDayYear
Gender
Student #2 / Student's Preferred Pronoun
Student #2 / Tell us about your child's preferred learning style and needs. If your child has an IEP, not here or other learning accommodations set up, our Education Director will reach out for a chat.
Student #2 / List one or two of the activities your child loves and gets excited about. Maybe it's slime, or science. Sports, which one(s)? Hip hop? Finger painting ? Learning about history, or space, or whales? How about something else? This information will help us tailor our activities to best engage our students, especially for electives and fun, hands-on activity stations at community-wide events.
Student #2 - Allergies. List allergies here, food or other, that may require the use of an EpiPen, other. We invite students to bring a water bottle and small snack on Sundays, but sometimes, we offer food at all-community events. Or, type none.
Do you have another child to enroll ?

Student # 3 Name

First NameMiddle NameLast Name
Classroom Student #3 (Grade as of September)
Birth Date

MonthDayYear
Gender
Student #3 / Student's Preferred Pronoun
Student #3 / Tell us about your child's preferred learning style and needs. If your child has an IEP, note here, or other learning accommodations set up, our Education Director will reach out for a chat.
Student #3 / List one or two of the activities your child loves and gets excited about. Maybe it's slime, or science. Sports, which one(s)? Hip hop? Finger painting ? Learning about history, or space, or whales? How about something else not on this list? This information will help us tailor our activities to best engage our students, especially for electives and fun, hands-on activity stations at community-wide events.
Student #3 - Allergies. List allergies here, food or other, that may require the use of an EpiPen, other. We invite students to bring a water bottle and small snack on Sundays, but sometimes, we offer food at all-community events. Or, type none.

Family Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent #1 Name

First NameLast Name
Parent #1 E-mail
example@example.com
Parent #1 Cell/Mobile Number or Preferred
Format: (000) 000-0000.
Parent #1 Profession
Parent # 2 Name (or type n/a for this form)

First NameLast Name
Parent #2 E-mail
example@example.com
Parent #2 Mobile Number or Preferred
Format: (000) 000-0000.
Parent #2 Profession
Share your primary contact here. BJEP uses this for weekly emails from our Director, and weekly updates from your child's teacher.
We send an e-newsletter once a month, and would love to share with a grandparent, favorite cousin or even your Aunt Lucy in Peru. Share their name + email address, and we will add to our email distribution list. E.g.: Lucy Paddington, lucy@perugmail.com.
Is there anything else you would like us to know about your family structure or other adults involved who we might see at BJEP? We value getting to know you, this is a start to the conversation. Sometimes, our families share a short note about their background, and sometimes, that they too attended BJEP as a student. OPTIONAL.
Madrichim ONLY: Provide student email address, so our Madrichim teacher can communicate with them directly. Note: We always include parents in emails to students so you will know what's happening, and perhaps offer a polite nudge to ensure your teen sees the emails!

Want to learn more about BJEP's B'nai Mitzvah Program? We will be in touch !
Want to learn more about BJEP's Hebrew tutoring program? We will be in touch !
Want to learn more about BJEP's Madrichim/Teen Program? We will be in touch !
Share a milestone planned this year, such as the date of your child's B-Mitzvah, in the BJEP program or other. We want to ensure our community shares in your joy with an appropriate Mazel Tov message.

Rows	Student 1	Student 2	Student 3
Seedlings Program ($336, monthly program + optional Eco-Judaism program)
Grades K-2nd grade ($1318/student)
Grades 3d - 7th ($1718/student))
B'Nai Mitzvah ($2500, added on to 7th grade)
Madrichim/Teen program (No fee 2023-2024, stipend based for student)

With thanks !