2025 - 2026 UJS Registration Form

2025 - 2026 UJS Registration Form
School Hours are Sunday 9:30am - 12:00pm unless otherwise specified

School Programs & Fees
Gan Katan: 2 & 3 year-olds (with parents from 11:00 - 12:00) $175

Kindergarten - 2nd Grade & 7th - 9th Grade: $400

3rd - 6th Grade: (Weekly Supplemental Hebrew as scheduled) $680

Mitzvah Core: 10-12 grade, meets at least 1x/month from 12:30 - 2:00 $400

Madrichim: 10th-12th grade $0

** ALL families will be assessed a $50 fee to help supplement the cost of security.

Registration consists of the following:
- Family Information
- Student(s) Information
- Vaccination records and other medical information ** Required Annually **
- Payment. Two choices here:
  FIRST METHOD: Use the "Pay tuition" button on UJS website: https://www.unitedjewishschool.org/registration-payment/
  SECOND METHOD: If you are paying by check: ALL Checks should be made payable to "Jewish Federation of Grand Rapids" and mailed or delivered to UJS.

Parent / Guardian Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Congregational Membership*
Before starting the 2nd year at school, UJS requires affiliation with one of the two sponsoring congregations.
PARENT #2*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Congregational Membership (if different from above)
Before starting the 2nd year at school, UJS requires affiliation with one of the two sponsoring congregations.
Emergency Contact (other than parent/guardian above)*

First NameLast Name
Relationship to Student(s)*
Phone Number*
Please enter a valid phone number.

STUDENT INFORMATION

	First Name	Last Name	Birthdate	Hebrew Name	School Grade	Hebrew School Grade	Does the Student receive accommodations at school?	Type of Accommodations	Allergies or medical Conditions	Please describe any special instructions that teachers should know.	Tuition Due
Student 1
Student 2
Student 3
Student 4
Student 5

Gan Katan $175

Kindergarten - 2nd Grade & 7th - 9th Grade: $400

3rd - 6th Grade: $680

Mitzvah Core: 10-12 grade $400

Madrichim 10th-12th grade $0
VACCINATION AND OTHER MEDICAL INFORMATION

*** REQUIRED ANNUALLY ***

The routine vaccination of all students is an important public health matter. Both the Reform and Conservative movements believe that childhood vaccination is a mitzvah, based on the Torah's exhortation to "take utmost care and watch yourselves scrupulously" (Deuteronomy 4:9).

The requirement of all students at the United Jewish School is to be adequately immunized against all of the preventable childhood diseases as recommended by the American Academy of Pediatrics and the CDC's Advisory Committee on Immunization Practices; therefore, it is United Jewish School policy that age-appropriate compliance of vaccination is enforced, and to exclude individuals who are out of compliance. We require appropriate documentation of immunization status prior to the start of school.

Parents must provide vaccination records or documentation of medical exemptions from the state or their pediatrician prior to the start of school. Your doctor or your local Health Department can print an Official State of Michigan Immunization Record for you. You can also request forms here.

More details about how to acquire documentation can be found here.
Is/Are the student(s) up to date on immunizations?*

YesNo
Upload Immunization Records for all students you are registering before the first day of class.

If you don't have it yet, please scan and email it to janice@unitedjewishschool.org or bring it into the school office at Temple Emanuel).
Cancelof

Permissions & Agreements
I grant permission for my child/children named above to be photographed during Beit Sefer B’Yahad/United Jewish School Activities. I understand that when photographs are used in print or online, no identifying information will be included.*

YesNo
I grant permission for my child/children named above to leave Beit Sefer B’Yahad/United Jewish School premises to participate in religious school field trips (the school will inform you about trips off campus and tell you about travel arrangements prior to the field trip).*

YesNo
I grant permission for UJS staff to call for emergency transportation to bring my child/children named above to an emergency room in case of emergency. I understand that every effort will be made to reach either or both parents by phone as soon as possible.*

YesNo

Tuition Due
Total Student Registration Fees*
Total tuition due for all students you are registering
add $50 per family security fee.
Total Due*
Total Tuition and Security Assessment

TUITION PAYMENT

Options
- Single payment by check (Payable to Jewish Federation of Grand Rapids)
- Single payment online (https://www.unitedjewishschool.org/registration-payment/)
- Monthly payments online (https://www.unitedjewishschool.org/registration-payment/)
- Partial Tuition Assistance (contact janice@unitedjewishschool.org)
Tuition payments / arrangements must be completed by September 15, 2025.
TUITION PAYMENT/ARRANGEMENTS -- I/We will pay our student(s) tuition by the following . . .*
Should be Empty:

2025 - 2026 UJS Registration Form

Parent / Guardian Information

Tuition Due