BJC Youth Education 2024-2025 - Form - Bethesda Jewish Congregation

* Is your family new to our school?

New Religious School families are gifted synagogue membership for their first year. A $125 security fee will be added to new family registration to help pay for security guards during Religious School classes and events. This fee is charged to returning members through membership instead of registration.

* How did you hear about BJC?

Section A: Family Contact Information

* First Name (Primary Adult)

* Last Name (Primary Adult)

* Email (Primary)

* Phone (Primary)

* Relationship to Student(s) (Primary)

* Street Address (Primary)

Street Address Line 2 (Primary)

* City (Primary)

* State (Primary)

* ZIP (Primary)

* Is there a secondary contact? If there is a secondary contact, all emails and mailings will go to both contacts. In case of urgent need, the primary contact will be notified first.

Please Select OneNoYes, at the same address as the primary contactYes, but at a different address than the primary contact

First Name (Secondary)

Last Name (Secondary)

Pronouns (Second Adult) (e.g. she/her, he/they)

Email (Secondary)

Phone (Secondary)

Relationship to Student(s) (Secondary)

Street Address (Secondary)

Street Address Line 2 (Secondary)

City (Secondary)

State (Secondary)

ZIP (Secondary)

* Emergency Contact Name

* Emergency Contact Phone

* Emergency Contact Relationship

Section B: Student Enrollment Information

* How many children total will be enrolled in the BJC youth program?

How many children will be enrolling in the Saturday Judaic Studies Program (Grades K-7)?

If you need to register more than three (3) children, please contact our Temple Office (admin@bethesdajewish.org)

How many children will be enrolling in the Weekday Online Hebrew Program (Grades 4-7)? Time slots will be available for registration beginning Aug. 20th.

How many children will be enrolling in the Tichon teen class (Grades 8-10)?

Student 1 Information

* Student 1: First Name

* Student 1: Last Name

* Student 1: Birthdate

* Student 1: Hebrew Name

Student 1: Nickname (if applicable)

Pronouns (e.g. she/her, he/they)

NOTE: Religious school grade selection is the same as your child's grade for their secular school year unless you have made other arrangements with the religious school office. Information will not be shared publicly. Parents will be copied on all communication to students.

* Student 1: Grade in Secular School 2024-2025

* Student 1: Secular School Name

Student 1: Email (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

Student 1: Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 1: Special Learning Needs

Please Select OneNoYes (IEP or 504)

We would love to sit down with you and your child’s teacher before the school year begins so that we are able to discuss the best ways to support your child from the outset. If you are comfortable, we invite you to send any documentation ahead of time to becky@bethesdajewish.org

Student 1: Please provide a summary of your student's learning needs:

Is there anything you would like us to know about your child? Personality, learning strengths or needs, etc.

* Student 1: Allergies or Medications - Does your child have allergies or medications that we need to know about?

Please Select OneNoYes

Student 1: Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

Student 2 Information

Student 2: First Name

Student 2: Last Name

Student 2: Birthdate

Student 2: Hebrew Name

Student 2: Nickname (if applicable)

Pronouns (e.g. she/her, he/they)

Student 2:Grade in Secular School 2024-2025

Student 2: Secular School Name

Student 2: Email (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

Student 2: Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

Student 2: Special Learning Needs

Please Select OneNoYes (IEP or 504)

Student 2: Please provide a summary of your student's learning needs:

Is there anything you would like us to know about your child? Personality, learning strengths or needs, etc.

Student 2: Allergies or Medications - Does your child have allergies or medications that we need to know about?

Please Select OneNoYes

Student 2: Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

Student 3 Information

Student 3: First Name

Student 3: Last Name

Student 3: Birthdate

Student 3: Hebrew Name

Student 3: Nickname (if applicable)

Pronouns (e.g. she/her, he/they)

Student 3: Grade in Secular School 2024-2025

Student 3: Secular School Name

Student 3: Email (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

Student 3: Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

Student 3: Special Learning Needs

Please Select OneNoYes (IEP or 504)

Student 3: Please provide a summary of your child's learning needs:

Is there anything you would like us to know about your child? Personality, learning strengths or needs, etc.

Student 3: Allergies or Medications - Does your child have any allergies or medications that we need to know about?

Please Select OneNoYes

Student 3: Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

Section C: Release Forms

By signing my name below, my child(ren) have permission to participate in the Youth Education Program of Bethesda Jewish Congregation (BJC). In consideration of my child(ren)'s acceptance as a religious school student, I hereby authorize the Religious School Coordinator, or person designated by the Religious School Coordinator, to obtain emergency medical care for my child(ren) in the event such care is indicated. I give my permission for my child(ren) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of Maryland or other trained individuals. I understand that every effort will be made to notify a parent/guardian prior to treatment.

I certify that my child(ren) is(are) in good physical health. They have my permission to participate in all activities that are part of the regular religious school program. Field trips may be arranged by BJC, and transportation may include bus or vehicle driven by a classmate's parent or guardian.

* Medical Release: Enter your name below

By typing my name, I confirm I have read, understand and agree to the above.

Media Release

From time to time your child’s photo may be taken in our classrooms or special events. We use these photos in the synagogue newsletter (BJC Now), on our synagogue display boards, the BJC website as well as Social Media groups and other publicity materials.
NO IDENTIFYING INFORMATION WILL EVER BE INCLUDED WITH YOUR CHILD'S PICTURE

* I give my permission for my child(ren)'s photo to be used:

On any materialsInternal communications only (BJCNow, BJCInsights, Community Bulletin Board)I do not give my permission for my child’s image to be used

Section D: Congregational Community

You may have noticed that at the top of the form we begin with family information. This is intentional. The work of raising and educating Jewish children cannot be done in the school alone, but is a project of the school, the family and the community. You are not just registering your child(ren) for school today, but in fact your entire family. When you come in the building and spend time learning and volunteering with us, you make a powerful statement to your children that Jewish learning is a lifelong process and that we are all on the same team in creating these experiences for them. Don’t underestimate the subtle power of this statement!

Our program includes many times when the whole family is invited to participate - particularly our monthly Family Education Program and Holiday celebrations.

In addition to those opportunities to participate we are in need of regular volunteers to make our school work. Would you consider supporting our school in an ongoing role or a limited engagement?

Volunteer Opportunities (check all that apply)

What other skills or talents would you like to share with your child's school community? (i.e. artistry, acting/storytelling, athletics, cooking/baking, etc)

Section E: Payment Information

In Jewish tradition, it is the job not only of parents but of the community to provide education for children. The BJC community is committed to this obligation, and synagogue support paid by members subsidizes our children’s education.

We are best able to plan appropriately when we know early on how many students to expect in each grade. Our preference is to have all registrations before September 1, but we will work with any family who wishes to join us later.

Please contact the Office for assistance or questions with regard to payment options, or (if you are joining mid-year), regarding pro-rated tuition fees.

Contribute for Teacher Gifts

We love our teachers and want to show our appreciation for them. Please consider giving to our Teacher Appreciation Fund. This will be used to provide Hanukkah and End of Year gifts for each teacher. We recommend a contribution of $15-$20 per student, however, any amount is welcomed. In the past we have asked for this at the end of the year. New this year, we are hoping to collect all of our donations during registration and not have to ask for more money later. We thank you for your generosity!

Contribute to the Maran Gluckstein Educational Fund

Tuition does not cover the full cost of our Religious School. In addition, we are committed to providing Jewish education for families who need financial assistance. If you are able, please consider a donation to help offset the additional costs of our religious school.

TOTAL DUE