Registration Inquiry - JewishELC.org

We are honored that you are considering the JELC to meet the early childhood education needs for your child. Choosing a school that values social-emotional well being above all, a child led learning environment, and one that supports Jewish values and teachings is one of the most significant decisions your family will ever make. We are confident that you will be pleased with the quality and dedication of our staff, the curriculum, and our facility.

The JELC welcomes children from ages 6 weeks through 4 years of age for the 2025- 2026 school year.

Please complete this inquiry form and Gayle Benno, Director of Admissions, will get in touch with you.

Mother's Name*

First Name Last Name

Mother's Cell Phone Number*

Area Code Phone Number

Mother's E-mail*

Father's Name*

First Name Last Name

Father's Cell Phone Number*

Area Code Phone Number

Father's E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Number of children you would like to enroll:*

Child's Name:*

First Name Last Name

Child's Date of Birth:*

Month Day Year

Child's Age:*

I am interested in this class for the upcoming school year:*

Infant (6 weeks-18 months)Toddler (18-36 months)Nursery (3 yrs)UPK (4 yrs)

Child 2 Name:

First Name Last Name

Child 2 Date of Birth:

Month Day Year

Child's 2 Age:

I am interested in this class for the upcoming school year:

Infant (6 weeks-18 months)Toddler (18-36 months)Nursery (3 yrs)UPK (4 yrs)

Child 3 Name:

First Name Last Name

Child 3 Date of Birth:

Month Day Year

Child 3 Age:

I am interested in this class for the upcoming school year:

Infant (6 weeks-18 months)Toddler (18-36 months)Nursery (3 yrs)UPK (4 yrs)

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