Nakhalim Registration Form

Thank you for participating in Nehar Shalom’s family education programs for the 2025-2026 School Year!

Please take a few minutes to fill out this form to register your child(ren).

This is the registration for the Nakhalim program for children ages 9-11.

Please complete this form for your child(ren). For more than one child, continue to scroll down and complete the additional information accordingly.

If you have any questions about the form or the program,
please contact Cynthia at communications@neharshalom.org

Adult(s) information

This address will receive a confirmation email

First and Last Name of the parent/guardian (Adult 1) completing this form:

Adult 1's pronouns:

Adult 1 cell phone number:

Adult 1 mailing address:

If your family has a second adult, please list their first and last name, as well as their preferred pronouns, here. (If none, please write "N/A." If there are additional adults in your family, please put their names and pronouns here as well)

Email addresses for other adults in your household:

Cell phone number(s) for other adults in your household:

Mailing address for other adult(s) in your household (if different than adult 1's.):

In case of emergency, if we cannot reach the people previously listed, please provide the name, relationship and cell phone number of one or two trusted people to call:

Nehar Shalom may use photos taken of my children during family education programs for the website or other promotional materials:

Yes No

Student information

How many children are you enrolling in our programs?

1 2 3 4

Child 1 name:

Child 1 birthday (month, day, year):

Grade during 2025-2026 School Year

Child 1 pronouns:

Please share a bit about Child 1, their relationship to Jewish life and learning, and anything else it may be helpful for us to know:

Child 2 name:

Child 2 birthday (month, day, year):

Grade during 2025-2026 School Year

Child 2 pronouns:

Please share a bit about Child 2, their relationship to Jewish life and learning, and anything else it may be helpful for us to know:

Child 3 name:

Child 3 birthday (month, day, year):

Grade during 2025-2026 School Year

Child 3 pronouns:

Please share a bit about Child 3, their relationship to Jewish life and learning, and anything else it may be helpful for us to know:

Does your child(ren) have an individualized education plan at school? If so, please take a few minutes to describe their learning needs and strategies for supporting them. (We will follow up individually to learn more about how to work best with your family.)

What are you most looking forward to or hoping to accomplish by enrolling your child(ren) in Nakhalim?

Please share medical concerns, allergies or food sensitivities about which we should be aware while your child participates in Nehar Shalom programming.

Has your family connected with your Hebrew Tutor?

Yes Not Yet

Is there anything else you would like us to know?

Membership Information

Membership at Nehar Shalom is required for families participating in the Nakhalim program.

Learn about becoming a member at Nehar Shalom

Payment Information

Nehar Shalom is committed to making our Jewish learning opportunities available for all who seek them in the community. If the tuition described below is a barrier for your family, please contact Brigitte Demelo at brigitte.demelo@gmail.com

Those who are able are warmly encouraged to consider making an additional donation to help ensure these programs continue to be available.

Tuition:
• Sliding Scale $200-$400/child

Tutoring
• $60/hr arranged with and paid directly to the tutor

Please choose your payment form in the dropdown below*

Please contact Cynthia by email or phone (617-522-3618) with any questions.

If paying by personal check please
1. Choose sliding scale in the tuition box below
2. Choose $0
3. Write your child(ren)'s name on the check
4. Send your check to:

Nehar Shalom Community Synagogue
6 Eliot Street
Jamaica Plain, MA 02130

Thank you.

Tuition

Additional Donation (optional)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Nakhalim Registration Form

Description

Please Fix the Following