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JEMS @ The Shul
Jewish Education Matters

Inspiring Jewish Pride and Identity in Jewish Children - the future of Judaism.

ב"ה

Register

JEMS Registration 2024-2025
We are currently accepting application forms for the 2024-2025 school year. Classes are on Sundays from 10am-12pm beginning Sunday, September 8! Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, feel free to contact Rabbi Yishai at 248-390-5711 or email [email protected].
How many children would you like to sign up?
Child Profile:
Child 1
Child 1 Full Name*

First Name Last Name
Child 1 Hebrew Name
Child 1 Gender*

MaleFemale
Child 1 Age*
Child 1 Birth Date*

Month Day Year
Child 1 Born after sunset This is to help determine the Jewish birthdate

YesNo
Child 1 School*
Child 1 Grade Entering*
Child 1 Previous Jewish Education if applicable
Child 1 New Student 1st Year

Yes
Child 1 Bar Mitzvah class extension

Yes
Child 2
Child 2 Full Name

First Name Last Name
Child 2 Hebrew Name
Child 2 Gender

MaleFemale
Child 2 Age
Child 2 Birth Date

Month Day Year
Child 2 Born after sunset This is to help determine the Jewish birthdate

YesNo
Child 2 School
Child 2 Grade Entering
Child 2 Previous Jewish Education if applicable
Child 2 New Student 1st Year

Yes
Child 2 Bar Mitzvah class extension

Yes
Child 3
Child 3 Full Name

First Name Last Name
Child 3 Hebrew Name
Child 3 Gender

MaleFemale
Child 3 Age
Child 3 Birth Date

Month Day Year
Child 3 Born after sunset This is to help determine the Jewish birthdate

YesNo
Child 3 School
Child 3 Grade Entering
Child 3 Previous Jewish Education if applicable
Child 3 New Student 1st Year

Yes
Child 3 Bar Mitzvah class extension

Yes
Parent Information:
Parents' Status*

MarriedDivorcedSeparatedWidowedSingle

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Father's Name

First Name Last Name
Father's Cell Number

Area Code Phone Number
Father's E-mail
Father's Occupation
Mother's Name*

First Name Last Name
Mother's Cell Number*

Area Code Phone Number
Mother's E-mail*
Mother's Occupation
Is the natural mother of the child/ren Jewish?*

YesNoConverted
Were there any conversions or adoptions in the family?*

YesNo
If yes, please explain
Emergency Information:
Emergency Contact*

First Name Last Name
Phone Number*

Area Code Phone Number
CONFIDENTIAL: Does your child have any allergies, behavioral or other medical condition that we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Please specify:
Grandparent Information:

We LOVE sharing smiles with the Grandparents. Help us spread Nachat by sharing the following information:
Grandparent 1 Name

First Name Last Name

Grandparent 1 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Grandparent 1 E-mail
Grandparent 2 Name

First Name Last Name

Grandparent 2 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Grandparent 2 Email
JEMS Family Days

We love when our JEMS Family gets together to celebrate special days on the Jewish calendar! Children feel very special knowing their parents were a part of creating the event, whether by sponsoring, planning, shopping, setting up or whatever is in your capacity.
Choose your preferred Family Day
Sponsorship Amount

$50$75$100
Payment:
We never turn down a family for financial reasons. Please be in touch with us to discuss scholarship options.

Full Tuition - $800
Sibling Discount - $50 off
NEW Student Special for 1st year - $400 (cannot be joined with other discounts)
Refer a Friend Bonus - $100 off

Bar Mitzvah class extension - additional $200 ($360 if not attending JEMS)
How would you like to pay

Pay entire amount now8 month payment plan
Total payment to be charged now $100 minimum deposit required at time of application

$
Total

$0.00

Payment

Credit Card Zelle

Should be Empty:

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