BJEP K-7 Enrollment Form

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Thank you for your support! Every donation, big and small, helps us sustain our mission of building a unique and inclusive Jewish community.

Payment processing fees are a significant expense for BJEP. Please consider making a donation to cover this expense. Note that ACH fees are about 1% and Credit Card fees are about 3-4%. Thank you!

Student Enrollment

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Nonrefundable Tuition Policy *

I accept the BJEP nonrefundable tuition policy

Tuition is non-refundable once the BJEP school year begins. We are unable to issue partial refunds after the first BJEP Sunday. This policy allows BJEP to hire teachers and rent space to meet our community's needs in advance of the first day of school.

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BJEP Photo Policy *

I accept the BJEP Photo Policy

I would like to opt-out of the BJEP Photo Policy

BJEP may share photos of your student(s) taken during BJEP programming. This may include the end-of-year slide show, community newsletters &/or other marketing materials. We DO NOT include any names when sharing outside of the BJEP community.

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First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Phone 1 *

Phone Number

Phone 2

Alternate Phone Number

Additional Parent/Guardian Name

First Name, Last Name

Additional Parent/Guardian Email

Additional Parent/Guardian Phone

111-222-3333

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Enroll a student

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Birthday *

Grade Level *

What grade will your student be in starting this Fall?

Pronouns

Allergies *

Write N/A if not applicable

Learning Style/IEP or other Learning Accommodations

Interests

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Donate Once

Other amount

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USD

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Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

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Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Amount:

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BJEP Enrollment 2024-2025

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
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No contacts.