2025-2026 Buffalo Community of Learning Online Registration Form

2025-2026 Buffalo Community of Learners Online Registration Form
Shalom! Welcome to the Buffalo Community of Learners! THIS SCHOOL IS OPEN TO EVERYONE REGARDLESS OF TEMPLE AFFILIATION.
School sessions take place on:

Sunday Mornings, 9-11:30 AM at Congregation Shir Shalom

4660 Sheridan Drive, Williamsville , NY 14221

Hebrew Tutoring is scheduled at the family's convenience with the Hebrew tutor (Grades 2-7 only).
2025-2026 Tuition:
TUITION IS BASED ON A 10-MONTH SCHOOL YEAR

Ganainu (Preschool monthly program, one child accompanied by an adult): $18/month

Kindergarten: $45/month

First Grade (includes group Hebrew Tutoring): $50/month

Second Grade (includes 1-on-1 Hebrew Tutoring): $50/month

Third - Seventh Grade (includes 1-on-1 Hebrew Tutoring): $68/month
Additional Preschool Programs

Tot Shabbat at Temple Beth Tzedek (TBT).
Additional Information:
Congregational Membership: All families registering for the Buffalo Community of Learners must be members in good standing of Congregation Shir Shalom, Temple Beth Tzedek, or any other Buffalo congregation as per the membership rules of that congregation. (Families unaffiliated with a synagauge, please see below).

Tuition Billing: Tuition costs will be billed to families.

Scholarship: No child will be denied the opportunity to attend and fully participate in the Buffalo Community of Learners due to family financial need. Members can apply for Religious School Tuition Assistance from their respective congregations.

Unaffiliated Families: The BCL welcomes unaffiliated families*. Unaffiliated students pay double tuition as stated above. Synagogue membership and attendance is highly encouraged. There is no Tuition Assistance available for unaffiliated families. Synagogue membership is required from 5th grade on for a Bar/Bat Mitzvah at TBT and CSS. Please contact Rabbi Einav Symons at 716-574-6016 additional information.

*Families are considered unaffiliated if they have not been a member of a congregation in the past three years.
Confirmation of Understanding: Please check here to indicate that you understand the above information.*

I Understand
Parent/Guardian Information
Please choose one primary contact. This individual will be contacted first in case of any emergencies. All contacts listed will receive email communications from the Buffalo Community of Learners.
Primary Contact Name*
First and Last Name
Primary Contact Relationship to Student*
Primary Contact Phone*
Primary Contact Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Primary Contact Email*
Primary Contact Synagogue Membership*

Congregation Shir ShalomTemple Beth TzedekUnaffiliatedOther
FOR UNAFFILIATED FAMILIES ONLY: Were you a member of a congregation in the past three years? If yes, which one?

NoYes
Is there another Parent/Guardian*
Secondary Contact Name
First and Last Name
Secondary Contact Relationship to Student*
Secondary Contact Phone
Secondary Contact Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Secondary Contact Email
Secondary Contact Synagogue

Congregation Shir ShalomTemple Beth TzedekUnaffiliatedOther
FOR UNAFFILIATED FAMILIES ONLY: Were you a member of a congregation in the past three years? If yes, which one?

NoYes
Emergency Contact
Please share the contact information for a person NOT LISTED ABOVE who could take responsibility for your child if for any reason we are unable to reach a Parent/Guardian in an emergency situation.
Emergency Contact Name *
First and Last Name
Emergency Contact Phone*
Emergency Contact Relationship*
Child 1
Name of Child 1*
First and Last Name
Birthday of Child 1*

MonthDayYear
Date
Gender of Child 1*
Hebrew name (if known)
Registration for 2025-2026*

Ganeinu (Preschool- 1 session per month)Kindergarden1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade
Does this child have previous Religious School experience?*

YesNo
Child 1 B/Mitzvah Date (If known)
Child 1 Health Information
The more we know and understand about each child, the better we can respond to their individual needs. All information will be handled respectfully and in confidence.
Does Child 1 have any allergies, food sensitivities, medical concerns, or restrictions we should know about?*
Does Child 1 have any learning, social, or behavioral needs or concerns we should know about?*
Add another child*

NoYes
Child 2
Name of Child 2
Birthday of Child 2

MonthDayYear
Date
Gender of Child 2
Hebrew name (if known)
Registration for 2025-2026

Ganeinu (Preschool- 1 session per month)Kindergarden1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade
Does this child have previous Religious School experience?

YesNo
Child 2 B/Mitzvah Date (If known)
Child 2 Health Information
The more we know and understand about each child, the better we can respond to their individual needs. All information will be respected and handled in confidence.
Does Child 2 have any allergies, food sensitivities, medical concerns, or restrictions we should know about?
Does Child 2 have any learning, social, or behavioral needs or concerns we should know about?
Add another child

NoYes
Child 3
Name of Child 3
Birthday of Child 3

MonthDayYear
Date
Gender of Child 3
Hebrew name (if known)
Registration for 2025-2026

Ganeinu (Preschool- 1 session per month)Kindergarden1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade
Does this child have previous Religious School experience?

YesNo
Child 3 B/Mitzvah Date (If known)
Child 3 Health Information
The more we know and understand about each child, the better we can respond to their individual needs. All information will be handled respectfully and in confidence.
Does Child 3 have any allergies, food sensitivities, medical concerns, or restrictions we should know about?
Does Child 3 have any learning, social, or behavioral needs or concerns we should know about?
Child 4
Name of Child 4
Birthday of Child 4

MonthDayYear
Date
Gender of Child 4
Hebrew name (if known)
Registration for 2025-2026

Ganeinu (Preschool- 1 session per month)Kindergarden1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade
Does this child have previous Religious School experience?

YesNo
Child 4 B/Mitzvah Date (If known)
Child 4 Health Information
The more we know and understand about each child, the better we can respond to their individual needs. All information will be handled respectfully and in confidence.
Does Child 4 have any allergies, food sensitivities, medical concerns, or restrictions we should know about?
Does Child 4 have any learning, social, or behavioral needs or concerns we should know about?
We love to share photos and videos of students happily and meaningfully engaged in learning! Your consent below allows us to share these within our community as well as with our congregations and the Buffalo Jewish Community via email, synagogue bulletins, the Jewish Journal of Western New York, and elsewhere. I give permission for my child(ren) to be video/photographed at school events*

YesNo
Some Buffalo Community of Learners programs may require transportation to other locations in and around Buffalo. You will receive complete information prior to any travel. I give permission for my child(ren) to travel by car or bus for a Buffalo Community of Learners program*

YesNo
In order to foster social bonds between students and families, we would like to make your family's contact information available to others at the Buffalo Community of Learners. I give permission for my family's contact information to be shared in a Buffalo Community of Learners directory:*

YesNo
Please join the Buffalo Community of Learners Parent Council!
Come and be an active contributor to our school.
What we do:
- Meet and have discussions about raising Jewish kids
- Raise funds for specific needs at BCL or BCL programs
- Family social gatherings to foster a sense of community
- Help, as needed, for BCL programs or Holidays
As the Buffalo Community of Learners continues to evolve, your input and participation will directly impact our school's trajectory.
Please sign up with your email and phone number to receive meeting information and
updates.

Jessica Cunningham, Parent Council Coordinator
716.597.6544
Jscunningham.ny@gmail.com
Yes, please sign me up for Parent Council! My preferred email is:
example@example.com
Yes, please sign me up for Parent Council! My preferred phone number is:
Please enter a valid phone number.
If there are any other issues that you would like to discuss with our Director, Rabbi Einav Symons, please let us know below and we will reach out to you before the beginning of the school year.
As always, feel free to reach out to us with any questions or concerns by contacting our Director:

Rabbi Einav Symons

symons.einav@gmail.com

716-574-6016

or

buffalocommunityoflearners@gmail.com
Attendance Policy: We recognize that children and their families may have other obligations or activities that, at times, interfere with their attendance at Buffalo Community of Learning. We will provide a list of approved tutors who can be engaged to compensate for the lost classroom time. Families will be responsible for these costs.

Consecration, Bar/Bat Mitzvah: Requirements, programs, and fees will be managed by the individual synagogues.
Should be Empty:

2025-2026 Buffalo Community of Learners Online Registration Form

Shalom! Welcome to the Buffalo Community of Learners! THIS SCHOOL IS OPEN TO EVERYONE REGARDLESS OF TEMPLE AFFILIATION.

2025-2026 Tuition:

Additional Information:

Parent/Guardian Information

Emergency Contact

Child 1

Child 1 Health Information

Child 2

Child 2 Health Information

Child 3

Child 3 Health Information

Child 4

Child 4 Health Information