Returning Student Registration

Welcome! We are currently accepting application forms for the 2025-2026 JEC year. Classes this year will be held at our temporary location 1537 Franklin Street, S. Monica as we rebuild our Palisades location. If you have any questions or concerns, please contact us at 310-428-5492.

We look forward to a wonderful year of learning and growth.

Click here for JEC Dates & Rates.

This form is for students who were in Jewish Enrichment Club during the 2024-2025 school year. Please use this short form to re-register your child for the 2025-2026 school year!

If you have any questions or concerns you'd like to discuss with us, please contact us

Please note if you wish to pay by cash/check or zelle, please contact Rabbi Sholom at 347-915-3770 and you will receive a different form..
Parent Email*
Child's Name*
First Name Hebrew Name Last Name
Grade Entering*
What are your goals in terms of your child's experience at Jewish Enrichment Club? Please number each line with numbers 1 to 5. (1=top priority), and add your own to the list. (0=not a priority) Thank you!
Jewish Identity Being in a Jewish environment Hebrew Reading Hebrew Language Socializing with Jewish friends Jewish History Knowledge of Holidays and Traditions Knowledge of Jewish practices/mitzvot Knowledge of Basic Jewish prayers Add your own...
Would you like to register a Second Child

YesNo
Child's Name*
First Name Hebrew Name Last Name
Grade Entering*
What are your goals in terms of your child's experience at Jewish Enrichment Club? Please number each line with numbers 1 to 5. (1=top priority), and add your own to the list. (0=not a priority) Thank you!
Jewish Identity Being in a Jewish environment Hebrew Reading Hebrew Language Socializing with Jewish friends Jewish History Knowledge of Holidays and Traditions Knowledge of Jewish practices/mitzvot Knowledge of Basic Jewish prayers Add your own...
Updated Information
Please select from the following:

All existing information on file is up-to-date.Our information has changed and the changes are listed below.
Please update the following information:
Address Email Address Phone Number Marital Status
Medical/Emergency Contact Information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Pediatrician*
First Name Last Name
Phone Number

Area Code Phone Number
Medical Insurance*
Policy #*
CONFIDENTIAL: Does your child have an IEP or other learning or social challenges? If yes, please describe them and indicate special precautions or care needed.*
CONFIDENTIAL: Does your child have an IEP or receive any behaviorial or educational support in school? Please explain. Sharing this information with us enables us to create a JEC environment in which your child can thrive.*
List all persons authorized to pick-up child from school.
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of the Palisades Jewish Enrichment Club/Chabad to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, the Palisades Jewish Enrichment Club/Chabad personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in the Palisades Jewish Enrichment Club/Chabad activities and that these pictures may be used for marketing purposes.
I Accept*

Yes
Full Name*
First Name Last Name
Date*
We look forward to a wonderful year of fun, learning and growth!
Payment
Jewish Enrichment Club - Wednesday Afternoon (Sept-May)*

One Child Flash Sale Tuition $1,180 + $50 Registration/Book FeeTwo Children Flash Sale Tuition $2,360 + $100 Registration/Book Fee
Optional Donation

$180$360$500 Sponsor a Day of Learning$750 Sponsor a JEC Holiday Fun Day$1,180 Sponsor a Child
Total

$0.00

I would like to pay today:Full amount50% minimum: $0.00 $
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Enrollment
After you have successfully submitted your application it will be subject to review. We will reach out to schedule a follow up call to discuss your application and confirm it's approval.
General Comments
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Updated Information

Medical/Emergency Contact Information

Payment

Enrollment

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