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School Enrollment & Community Membership (9 monthly payments)

$240.00 / month for 9 months

Enrollment & Membership

Sholem Member Roster

This information will be published in our password-protected online roster. If you wish to omit any of your information from the online roster, you may opt out by unchecking the box to the left of the field(s).
Roster Options
Roster Options

Roster fields

Member Information

Parent Informaton

First
Last
Address
City
State/Province
Zip/Postal

Second Family Member

First
Last

Third Family Member

First
Last

Fourth Family Member

First
Last

Parent 2 Information

(optional)

Student Enrollment

Do not include Belfer Students here. Use the separate section below

Student Information

First
Last
Bar/Bas Mitsve This Year
Bar/Bas Mitsve Program $3000 plus $1030 Advisor fee. A discount coupon will be issued based on years of enrollment. Fee Table

Student 2 Information

First
Last
Bar/Bas Mitsve This Year
$3000 plus $1030 Advisor fee. You should have a coupon code for a discount based on years of enrollment at Sholem. Fee Table

Student 3 Information

First
Last
Bar/Bas Mitsve This Year
$3000 plus $1030 Advisor fee. You should have a coupon code for a discount based on years of enrollment at Sholem. Fee Table

Student 4 Information

First
Last
Bar/Bas Mitsve This Year
$3000 plus $1030 Advisor fee. You should have a coupon code for a discount based on years of enrollment at Sholem. Fee Table

Belfer Registration

Register Students in the Belfer Program Here

First
Last
Click the "Add" button below to add another Belfer Student
Add another Belfer Student Remove
 

Family Informaton

Tution Grid

To lift up others, please look for the Donation link during checkout.

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Monthly amounts for subscription

Sholem Volunteering

The Sholem Community is a co-op that depends on its members to volunteer to help run the organization. We need each member family to do their part. Please review the list below and select at least one committee.

Medical Consent

First
Last
First
Last

Student Medical Information

In the event that I, or other parent/guardian, cannot be reached in an emergency, I give permission to the Sholem staff to secure proper treatment for my child. If the above physician cannot be reached, I authorize qualified emergency personnel to treat my child. I agree to accept financial responsibility for the costs related to this medical treatment. I acknowledge that it is my responsibility to keep the above information current. I also agree to notify the Sholem School if my child is exposed to any communicable disease.

Photo/ Video Permission

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