Jewish Family Service Corps Registration Form 2025-2026

This Jewish service and education program invites families with elementary and middle school students to learn, serve, and grow together.

Rooted in the core values of Judaism, the program gives parents and children the chance to work side by side on meaningful, hands-on volunteer projects that support local families in need.

Together, families strengthen their own ties while making a real difference in the community.

Cost: We ask for a one-time $54 donation per family to the JFS program of your choice. No one will be turned away for inability to donate. Go to our website to donate or click here

Parent/Guardian 1 *

First NameLast Name

Parent/Guardian 1 Relationship to Children*

Parent/Guardians 1 Phone Number*

Parent/Guardian 1 Email Address*

example@example.com

Parent/Guardian 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian 2

First NameLast Name

Parent/Guardian 2 Relationship to Children

Parent/Guardians 2 Phone Number

Parent/Guardian 2 Email Address

example@example.com

Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Child 1: *

First NameLast Name

Child 1 School Attending; Grade Level*

Child 2:

First NameLast Name

Child 2 School Attending; Grade Level

Child 3:

First NameLast Name

Child 3 School Attending; Grade Level

Child 4:

First NameLast Name

Child 4 School Attending; Grade Level

Does any JFSC family member have any special needs or require accommodations? If yes, please specify?

Examples might include dietary restrictions, allergies, mobility needs, etc.

Emergency Contact Full Name*

Emergency Contact Relationship to Family*

Emergency Contact Phone Number*

Before we finalize our schedule, we wanted to consult all participants about availability. Please list any dates between October 2025 and April 2026 that would not work for you.*

Referral Source: How did you hear about this program?*