JLearning Clearwater - Enrollment Form

2023/2024 Enrollment Form - New Students

JLearning is a combined synagogue sponsored school between Congregation Beth Shalom and Temple B’nai Israel. We understand that finding a temple community to affiliate with takes time. For new unaffiliated families - we offer a one year special JLearning membership - $108 per student. This allows each new family to see which synagogue is best suited for them. This extra fee will be split between the two synagogues to off set the cost of the free membership for the year.

JLearning 2023/2024 Tuition By Grade Level:

PK - Grade 2	$515.00
Grades 3 - 7 (includes private Hebrew tutoring)	$875.00
Grades 8 - 12	$515.00

Other Fees:

Registration Fee (per child)	$25.00
Teacher Gift Fee (per child)	$18.00

For Unaffiliated families, a $108.00 fee per child is required.

Fee adjustment and youth scholarship applications are available upon request.

No student is turned away for financial need.

Family Information:

* Student First Name

* Student Last Name

* Shul Affiliation

* Grade Level

2023/2024 School Year Grade Level

Student Cell Phone #

Student Email

May We Contact Your Student Directly?

Via Cell Phone OnlyVia Email OnlyBothNeither or N/A

Student Medical Notes / Other Important Info

Allergies, Medical Issues, Disabilities, etc.

Family Information

* Parent #1 First Name

* Parent #1 Last Name

* Parent #1 Phone

* Parent #1 Email

Parent #2 First Name

Parent #2 Last Name

Parent #2 Phone

Parent #2 Email

* Full Home Address (Where Student Normally Resides)

Enrollment Fees:

Registration fee and Teacher Gift fee are required upon submission of this form.
Student tuition is calculated based on the student's grade level. Please see overview of fees at the top of this page.
If you are in need of financial assistance, please contact JLearning Director, Jackie Klein or your individual synagogue office. Financial need is not a barrier for Jewish learning.

Please confirm that you accept the Registration & Teacher Gift Fees below:

* $25 Registration Fee - Check Box To Confirm

$25 Registration Fee - Check Box To Confirm

* $18 Teacher Gift Fee - Check Box To Confirm

$18 Teacher Gift Fee - Check Box To Confirm

If you would like to pay for your student's tuition in full now, please choose the grade/amount below. If paying later, please choose the "Pay Later" option.

Grand Total

Total Fees

Questions About Your Child:
Please feel free to go through these questions together with your child.

What are your goals for your child's Jewish education?

Be connected to other Jewish studentsBe able to participate in worship by reading HebrewBecome knowledgeable about Jewish historyBe engaged in thoughtful discussions around Jewish valuesMake a personal connection to JudaismOtherCheck all that apply.

If you chose "Other", please add more information

What are your child's special interests?

What are your child's learning strengths?

What motivates your child?

Is there a specific learning challenge or special help in school that you would like to share to help us best meet the needs of your child?

How does your child learn best?

Writing or drawingListening to a story read aloud/discussionVerbally from the teacherMusic-related activitiesReading and presenting information to the classWorking in small groupsWorking aloneWorking one-on-one with the teacherCheck all that apply.

What strategies have been successful for you in helping your child through a stressful moment?

Time and space after difficult momentsAllow child to write down their feelingsValidating feelings firstLetting your child speak firstListening, not lecturingModeling pausing and taking a breath before respondingOtherCheck all that apply

If you chose "Other", please add more information

Are you interested in volunteering or being part of our JLearning Parent Committee?

If yes - what areas are you interested in helping with in the school as a volunteer?

MarketingStrategic VisioningParent CommunicationClassroom HelperCheck all that apply

For 8th Grade Students Only:
This year will be focused on Israel education and Madrichim leadership with time in the classroom. There will be additional opportunities to volunteer. Please check below if you understand that joining this Madrichim leadership year comes with the expectation of regular attendance so that the teens, students, and teachers will be able to develop the classroom relationship.

I understand the 8th Grade attendance requirement.

For 9th - 12th Grade Students Only:
For 9th - 12th grade, being part of the Madrichim program is an option but needs to be discussed individually with Jackie Klein so as to clarify expectations and responsibilities. We want to make sure that each student is getting the most out of their high school program year and that responsibilities are also being met as part of the Madrichim team.

I am interested in being part of the Madrichim Program. (9th - 12th grades only)