2024-25 Education Center Enrollment 5785 - Form - Jewish Community of Greater Stowe

Thank you for enrolling your child/ren in JCOGS's Olam Chesed education programs. We are delighted to learn and celebrate and grow together!
Before starting the form, please fill in your name in the field above where it says "Enter a name". This will link the form to your existing account and expedite the process. Be sure to update any information that is incorrect or has changed.

Tuition is charged with membership.
Please be sure to renew or join if you haven't already; links to do so will be sent with confirmation of enrollment.
Mitzvah program is $2500 per student.
Olam Chesed Club is $600 per student.
K&G is $80 per student.
Ateed teen program is tuition free but there may be costs associated with some programming.

*Finances should not be a barrier to membership or our education programming. If dues and/or tuition presents a financial hardship, please check the box on the membership form and we will be in touch to discuss alternative arrangements confidentially.

* Is your family new to our school?

Please Select OneNoYes

Family Contact Information

* First Name (Primary)

* Last Name (Primary)

* Email (Primary)

* Phone (Primary)

* Relationship to Student(s) (Primary)

* Street Address (Primary)

Street Address Line 2 (Primary)

* City (Primary)

* State (Primary)

* ZIP (Primary)

What county do you live in?

* Is there a secondary contact?

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

* First Name (Secondary)

* Last Name (Secondary)

* 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

Student Enrollment Information

Student 1 Information

* Student 1 First Name

* Student 1 Last Name

* Student 1 Birthdate

* Grade in school

Student 1 Enrollment

* Student 1 Hebrew Name

Student 1 Nickname (if applicable)

* Student 1 Secular School Name

Student 1 Email (If Applicable)

Information will not be shared publicly. Parents will be copied on communication to students

Student 1 Phone (If applicable)

Information will not be shared publicly.

* Student 1 Special Learning Needs

Please Select OneNoYes (IEP or 504)Please email any 504 or IEP to the education director, beth.liberman@jcogs.org

Student 1 learning needs

* Student 1 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 1 Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

* Student 1 Dietary Needs

Please Select OneNoYesDoes your child have dietary needs we should follow?

Student 1 Dietary Details

Please describe any special dietary needs for student 1.

Student 2 Information

* Student 2 First Name

* Student 2 Last Name

* Student 2 Birthdate

* Grade in school

Student 2 Enrollment

* Student 2 Hebrew Name

Student 2 Nickname (if applicable)

* Student 2 Secular School Name

Student 2 Email (if applicable)

Information will not be shared publicly. Parents will be copied on communication to students.

Student 2 Phone (if applicable)

Information will not be shared publicly.

* Student 2 Special Learning Needs

Please Select OneNoYes (IEP or 504)Please email any 504 or IEP to the education director, beth.liberman@jcogs.org

Student 2 learning needs

* Student 2 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 2 Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

* Student 2 Dietary Needs

Please Select OneNoYesDoes your child have dietary needs we should follow?

Student 2 Dietary Details

Please describe the dietary needs.

Student 3 Information

* Student 3 First Name

* Student 3 Last Name

* Student 3 Birthdate

* Grade in school

Student 3 Enrollment

* Student 3 Hebrew Name

Student 3 Nickname (if applicable)

* Student 3 Secular School Name

Student 3 Email (if applicable)

Information will not be shared publicly. Parents will be copied on communication to students.

Student 3 Phone (if applicable)

Information will not be shared publicly.

* Student 3 Special Learning Needs

Please Select OneNoYes (IEP or 504)Please email any 504 or IEP to the education director, beth.liberman@jcogs.org

Student 3 learning needs

* Student 3 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 3 Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

* Student 3 Dietary Needs

Please Select OneNoYesDoes your child have dietary needs we should follow?

Student 3 Dietary Details

Please describe the dietary needs.

Student 4 Information

* Student 4 First Name

* Student 4 Last Name

* Student 4 Birthdate

* Grade in school

Student 4 Enrollment

* Student 4 Hebrew Name

Student 4 Nickname (if applicable)

* Student 4 Secular School Name

Student 4 Email (if applicable)

Information will not be shared publicly. Parents will be copied on communication to students.

Student 4 Phone (if applicable)

Information will not be shared publicly.

* Student 4 Special Learning Needs

Please Select OneNoYes (IEP or 504)Please email any 504 or IEP to the education director, beth.liberman@jcogs.org

Student 4 learning needs

* Student 4 Allergies or Medications

Please Select OneNoYesDoes your child have allergies or medications we need to know about?

Student 4 Allergy/Medication Details

Please describe allergies and medications with dosage and timing.

* Student 4 Dietary Needs

Please Select OneNoYesDoes your child have any dietary needs?

Student 4 Dietary Details

Please describe any special dietary needs.

Permission

By filling in my name below, I confirm that my child(ren) have permission to participate in the education programs at The Jewish Community of Greater Stowe (JCOGS). In consideration of my child(ren)'s acceptance as a student, I hereby waive any and all claims against JCOGS, its agents and its employees that may arise out of any injury, loss or damage suffered by my child(ren) during any education program activity. I hereby authorize the Education Director, or person designated by the Education Director, 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 Vermont. 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 education center program.

* Enter your name below

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

Insurance Cards

Upload a photo of insurance cards for each student.

Media Release

From time to time your child(ren)’s photo may be taken in our classrooms or during events. We use these photos in the JCOGS newsletter, on our website as well as on our social media platforms and for other publicity materials.

* Media Release

Please Select OneI grant permission for my child(ren)'s image to be usedI do not grant permission for my child(ren)’s image to be used

Vaccination

* My child(ren) is (are) vaccinated according to the Vermont state requirements.

My child(ren) is (are) vaccinated according to the Vermont state requirements.