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2023-24 B'Yachad Registration
Please verify reCaptcha before submitting the form.
Join B'Yachad 2023-24!
**
ALL EXISTING FAMILIES SHOULD LOG IN PRIOR TO REGISTERING
**
To do this, click log in at the top right corner. If you do not know your password, click 'Forgot Password'.
If your family is new to our school,
your account information will be provided after your registration submission.
We are so excited to have your family join us for B'Yachad Community Religious School 2023-24.
B'Yachad religious school classes take place on Sunday mornings from 9:30 am - 11:30 am. September to May. We meet 9:30 am - 10:00am for Family Minyan and students meet in their classrooms from 10:00 am - 11:30 am for Jewish learning.
As you make your way through the form, take your time and answer questions to the best of your ability. If you run into any questions or concerns, please do not hesitate to reach out to Molly Bajgot, B'Yachad Director, at director@byachadspringfield.org.
We look forward to a year of learning and celebrating with your family and your students!
Welcome!
Caregiver Information
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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)
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
ZIP (Primary)
*
Is there a secondary contact?
Please Select One
No
Yes, at the same address as the primary contact
Yes, but at a different address than the primary contact
If 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)
*
Is there a third contact?
Please Select One
No
Yes, at the same address as the primary contact
Yes, but at a different address than the primary contact
If there is a third contact, all emails and mailings will go to all contacts. In case of urgent need, the primary contact will be notified first
*
First Name (Third Contact)
*
Last Name (Third Contact)
*
Email (Third Contact)
*
Phone (Third Contact)
*
Relationship to Student(s) (Third Contact)
*
Street Address (Third Contact)
Street Address Line 2 (Third Contact)
*
City (Third Address))
*
State (Third Contact)
*
Is there a fourth contact?
Please Select One
No
Yes, at the same address as the primary contact
Yes, but at a different address than the primary contact
If there is a fourth contact, all emails and mailings will go to all contacts. In case of urgent need, the primary contact will be notified first
*
First Name (Fourth Contact)
*
Last Name (Fourth Contact)
*
Email (Fourth Contact)
*
Phone (Fourth Contact)
*
Relationship to Student(s) (Fourth Contact)
*
Street Address (Fourth Contact)
Street Address Line 2 (Fourth Contact)
*
City (Fourth Address))
*
State (Fourth Contact)
Emergency Contact Information
*
Emergency Contact Name
*
Emergency Contact Best Phone
*
Emergency Contact Relationship
Family Physician Name
Family Physician Phone Number
Hospital Preference
Student Enrollment Information
*
How many students are being enrolled?
Please select one
1 student
2 students
3 students
4 students
5 students
Student 1 Information
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Student 1 First Name
*
Student 1 Last Name
*
Student 1 Birthdate (MM/DD/YYYY)
*
Student 1's Grade as of this Fall
Please select one.
Pre-K (3.5-5 yo)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
Student 1 Hebrew Name
What pronouns does your child use?
She/her
He/him
They/them
Other
*
Student 1 Preferred Name
*
Student 1 Allergies or Medications
Please Select One
No
Yes
Does 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 Learning Needs: What should we know about your child in a classroom setting? How do they learn best and what kind of supports can we provide?
*
Student 1: Does your child have a formal IEP or 504 plan?
Please Select One
Yes
No
If applicable, upload your student's IEP file here
If you have access to your student's IEP, please upload here for their teacher to review
Student 2 Information
*
Student 2 First Name
*
Student 2 Last Name
*
Student 2 Birthdate (MM/DD/YYYY)
*
Student 2's Grade as of this Fall
Please Select One
Pre-K (3.5-5 yo)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
Student 2 Hebrew Name
What pronouns does your child use?
She/her
He/him
They/them
Other
*
Student 2 Preferred Name
*
Student 2 Allergies or Medications
Please Select One
No
Yes
Does 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 Learning Needs: What should we know about your child in a classroom setting? How do they learn best and what kind of supports can we provide?
Does your student have a formal IEP or 504 plan?
Please Select One
Yes
No
Student 2: If applicable and accessible, upload your student's IEP file
Student 3 Information
*
Student 3 First Name
*
Student 3 Last Name
*
Student 3 Birthdate (MM/DD/YYYY)
*
Student 3's Grade as of this Fall
Please Select One
Pre-K (3.5-5 yo)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
Student 3 Hebrew Name
What pronouns does your child use?
She/her
He/him
They/them
Other
*
Student 3 Preferred Name
*
Student 3 Allergies or Medications
Please Select One
No
Yes
Does 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 Learning Needs: What should we know about your child in a classroom setting? How do they learn best and what kind of supports can we provide?
Student3: Does your child have a formal IEP or 504 plan?
Please Select One
Yes
No
If applicable and accessible, upload your student's IEP file here
If accessible to you, please upload your student's IEP for their teacher to review
Student 4 Information
*
Student 4 First Name
*
Student 4 Last Name
*
Student 4 Birthdate (MM/DD/YYYY)
*
Student 4's grade as of this Fall
Please Select One
Pre-K (3.5-5 yo)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
Student 4 Hebrew Name
*
What pronouns does your child use?
She/her
He/him
They/them
Other
*
Student Preferred Name
*
Student 4 Allergies or Medications
Please Select One
No
Yes
Does 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 Learning Needs: What should we know about your child in a classroom setting? How do they learn best and what kind of supports can we provide?
Student 4: Does your student have a formal IEP or 504 plan?
Please Select One
Yes
No
If applicable and accessible, upload your student's IEP here
If you have access to your student's IEP, please upload here for their teacher to review.
Student 5 Information
*
Student 5 First Name
*
Student 5 Last Name
*
Student 5 Birthdate (MM/DD/YYYY)
*
Student 5's grade as of this Fall
Please Select One
Pre-K (3.5-5 yo)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
What pronouns does your child use?
She/her
He/him
They/them
Other
*
Student 5 Hebrew Name
*
Student Preferred Name
*
Student 5 Allergies or Medications
Please Select One
No
Yes
Does your child have allergies or medications we need to know about?
Student 5 Allergy/Medication Details
Please describe allergies and medications with dosage and timing.
*
Student 5 Learning Needs: What should we know about your child in a classroom setting? How do they learn best and what kind of supports can we provide?
Student 5: Does your student have a formal IEP or 504 plan?
Please Select One
Yes
No
If applicable and accessible, upload your student's IEP here
If you have access to your student's IEP, please upload here for their teacher to review.
Select Tuition Payment
B'Yachad Community Religious School tuition is based on a sliding-scale model that is
informed by our Jewish values
.
Below, you will be asked to pledge tuition for each of your students on a grade-based sliding scale starting with a base tuition rate with the option to pay a
nediv lev,
a gift of the heart, to support our community's access. And, scholarship is available for any families that are not able to contribute the base rate for our tuition.
Using the sliding scale chart above,
consider what you are able to contribute towards your B'Yachad tuition this year. Below, enter the tuition amount for each student you are enrolling.
Those unable to meet the base tuition on the sliding scale,
please enter the amount you can contribute towards each students' tuition in the tuition space below and check the box for scholarship
(scholarship is available for all families regardless of synagogue affiliation).
I am seeking scholarship for my family's B'Yachad tuition this year
I am seeking scholarship for my family's B'Yachad tuition this year
*
Student 1: Grade
Please Select One
Please select one
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th-12th
*
Student 1 Tuition:
Student 2: Grade
Please select one
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th-12th
Student 2 Tuition:
Student 3: Grade
Please select one
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th-12th
Student 3 Tuition:
Student 4: Grade
Please select one
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th-12th
Student 4 Tuition:
Student 5: Grade
Please select one
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th-12th
Student 5 Tuition:
Hebrew Learning
Hebrew tutoring
for grades 3rd-7th take place weekly via 30 minute private tutoring session Sundays through Thursdays. These sessions are scheduled directly with families by the Director. Hebrew scheduling will take place at a later date.
Release Forms
*
Contact Waiver: The Religious School has permission to share our contact information with our B'Yachad Religious School families
Please Select One
Yes
No
*
Media Release: From time to time your child's photo may be taken in our classrooms or at special events. We use these photos in our newsletters, on our website, in our Facebook posts and other publicity materials.
Please select one
I grant permission for my child(ren)'s image to be used in all media
I grant permission for my child(ren)'s image to be used only in internal synagogue media
I do not grant permission for my child(ren)’s image to be used
Community Connection
Please select all that apply:
We are members of Sinai Temple
We are members of Temple Beth El
We attend Kids Shabbat programs at Sinai Temple
We attend Tot Shabbat programs at Temple Beth El
We attend PJ Library or PJ Our Way programs
We attend programs at the JCC
We are interested in Sinai Temple membership
We are interested in Temple Beth El membership
Please share how you are connected or hope to become connected to the local Jewish community:
B'Yachad Family Programs & Support
Our B'Yachad family programs build relationships and infuse joy into our Jewish lives. Each year, we host B'Yachad Family Shabbat dinners as well as various family holiday programs. They cannot happen, however, without the support of our B'Yachad parents. Below, please indicate your interest and ability to volunteer to help make our Family Programs happen:
Yes! Just be in touch about when
Not sure yet, I need more information
No, I will not be able to
PJ Library Subscription: PJ Library sends free, award-winning books that celebrate Jewish values and culture to families with children from birth through 12 years old. Would your family like to subscribe to receive PJ Library books?
Please select one
Yes, we would like to subscribe
We are already subscribed
No, not at this time
Is there anything else you want us to know about you, your family, or your students as we enter into the school year?
Payment Information
Thank you for joining us for B'Yachad Religious School 2023-24. Below you will find your total amount of tuition.
After submitting your registration you will select your form of payment:
You can choose to pay once in full or in monthly installments.
For existing families who wish to pay by cash or check,
you must be logged in to your account and select 'Charge to Account'.
For new families that wish to pay via cash or check,
contact Marie Sampson in the Temple Beth El office at 413-733-4149 or office@tbespringfield.org.
Total Tuition Amount:
Thank you!
Sat, May 11 2024 3 Iyyar 5784
