2023-24 CHALLAH Teen Classes Registration - Form

Spring trimester starts March 28th!

Welcome to CHALLAH! CHALLAH is an ongoing, weekly series of classes for teens in grades 8 - 12, hosted by CBI and open to all. CHALLAH meets on Thursday nights from 5:30pm - 7:30pm with the exception of school breaks and some Jewish holidays. Each session includes a one-hour class, a community gathering led by Rabbi Ariella, social time, and an optional dinner. Participants can sign up for 1, 2, or all 3 trimesters:

סְתָו / Stahv / Fall trimester: October 12^th - December 7^th
אֲבִיבֵ / Aviv / Winter trimester dates: January 11^th - March 7^th
חורף / Choref / Spring trimester: March 28^th - May 30^th

For families with children in grades pre-K - 7th, check out ALMA!

If you are requesting financial aid and/or wish to pay by check, please log into ShulCloud before filling out the form! If you do not have a ShulCloud account, please contact Elijah for assistance: elijah@cbinorthampton.org

Section A: Family or Caregiver Contact Information

* 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)

* ZIP (Primary)

* Is there a secondary 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)

* Emergency Contact Name

* Emergency Contact Best Phone

* Emergency Contact Relationship

Family Physician Name

Family Physician Phone Number

Insurance Group or ID#

Medical Insurance Provider

Section B: Tuition and Student Enrollment Information

CHALLAH Tuition makes it possible for our program to sustain educators and provide materials for students. Tuition does NOT cover all of our staffing and overhead needs and is significantly subsidized by CBI. CHALLAH tuition fees can be paid one time annually or monthly through a payment plan. Financial aid options are available!

CHALLAH Tuition Rates

Individual trimester = $340 without dinner / $420 with dinner
Two trimesters = $680 without dinner / $840 with dinner
Three trimesters = $1,020 without dinner / $1,260 with dinner

Dinner
For those who wish to opt-in, we provide vegetarian dinner from local restaurants or prepped at CBI each week towards the end of each CHALLAH session (6:45pm - 7:15pm). This is open to all CHALLAH students at an additional cost of $10 per meal ($80 per trimester).

Registration for Those Seeking Financial Assistance

We strongly believe that finances should never be an obstacle to Jewish education. We ask that every family commits to some financial contribution, however we are very happy to discuss financial aid options for any CBI member family that may require tuition assistance. If you select yes, you will discuss your payment ability in a confidential meeting with Rabbi Ariella Rosen.

When the form takes you to billing, select the option "bill to account"; that will allow you to complete the form without paying. You must be logged into your ShulCloud account to do this. If you do not have a ShulCloud account, please contact Elijah for assistance: elijah@cbinorthampton.org

* Are you requesting Financial Aid? Rabbi Ariella Rosen will follow up with you to discuss payment.

* How many teens are being enrolled in CHALLAH?

Please fill out an additional form for any additional teens over 2.

* Student 1 Sign Up

* Student 2 Sign Up

Student 1 Information

* Student 1 First Name

* Student 1 Last Name

* Student 1 Birthdate

* What pronouns do you use?

* Student 1's Grade as of Fall 2023

* Student 1's Expected High School Graduation Year

* Student 1 Preferred Name

Student 1 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 1 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 1 Allergies, medications, or other health conditions

Please Select OneNoYesDoes your child have any allergies, medications, or other health conditions?

Student 1 Allergy/medication/health condition details

Please describe allergies, health conditions, and medications (including dosage and timing).

* What helps you to best enjoy learning? Please tell us below:

* Student 1: Do you have a formal IEP or 504 plan?

Please Select OnePlease select oneYesNoIf yes, we will be in touch before the start of the trimester to best understand how to support you.

Student 1: Choose Your Course!

אֲבִיבֵ / Aviv / Spring courses:

1. Jewish Cooking and Food Studies
Explore the world of the Jewish diaspora with your mouth! Learn Jewish history, culture and tradition through cooking and, of course, eating. Working with both a geographical and a historical framework, this course seeks to interrogate the very idea of Jewish food, engaging with questions such as: What makes a food Jewish? How is Jewish food from a particular region different from non-Jewish food from the same place? Are certain ingredients Jewish? This trimester we will focus on global, Jewish cuisine for the three main spring holidays: Purim, Pesach, and Shavuot. Co-taught by Ozzy Gold-Shapiro and Aaron Kagan.

Instructors:

Aaron Kagan (he/him) is CBI's Teen Engagement Coordinator as well a freelance food writer with professional cooking experience. Aaron's food writing has appeared in publications such as The Forward, The Boston Globe, Eater, and Smithsonian, and his current food obsession is replacing egg whites with "aquafaba" (aka chickpea cooking liquid).

Ozzy Gold-Shapiro (they/them) teaches with CBI's Alma program and is a Yiddishist,

historian, and performer among many other things! This is Ozzy's second time teaching a cooking and food studies class with CHALLAH. Ozzy loves forging connections, building community on and off the stage, and creating joyous and raucous occasions for local mutual aid work. And their cooking is not be missed!

My choice for the fall trimester is:

My choice for the winter trimester is:

My choice for the spring trimester is:

Student 2 Information

* Student 2 First Name

* Student 2 Last Name

* Student 2 Birthdate

* What pronouns do you use?

* Student 2's Grade as of Fall 2023

* Student 2's Expected High School Graduation Year

* Student 2 Preferred Name

Student 2 Email (if applicable)

Information will not be shared publicly. Parents will be copied on all communication to students.

Student 2 Phone (if applicable)

Information will not be shared publicly. Students will not be contacted independently from parents.

* Student 2 Allergies, medications, or health conditions

Please Select OneNoYesDoes your child have allergies, medications, or health conditions?

Student 2 Allergy/medication/health condition details

Please describe allergies, health conditions, and medications (including dosage and timing).

* What helps you to best enjoy learning? Please tell us below:

Do you have a formal IEP or 504 plan?

Please select oneYesNoIf yes, we will be in touch before the start of the trimester to best understand how to support you.

Student 2: Choose Your Course!

אֲבִיבֵ / Aviv / Spring courses:

My choice for the fall trimester is:

My choice for the winter trimester is:

My choice for the spring trimester is:

Section C: Release Forms

* For Parents/Caregivers: CHALLAH WAIVER OF LIABILITY (22/23) With full awareness and appreciation of the risks involved, I, for myself and on behalf of my family, spouse, estate, heirs, executors, administrators, assigns, and personal representatives, hereby forever release, waive, discharge, and hold harmless Congregation B’nai Israel, its board members, officers, agents, servants, independent contractors, affiliates, employees, successors, and assigns (collectively the "Released Parties") from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, or injury, including death, that may be sustained by me or any member of my family related to COVID-19 or any other infectious diseases, whether caused by the negligence of the Released Parties or otherwise, while attending CHALLAH, participating in any activities on Congregation B’nai Israel premises or using any of its facilities or equipment. By signing below I acknowledge and represent that I have read the foregoing Waiver of Liability, understand it and sign it voluntarily as my own free act and deed. I am sufficiently informed about the risks involved in attending CHALLAH and making use of its facilities and equipment to decide whether to sign this document. No oral representations, statements, or inducements, apart from the foregoing written agreement, have been made to me. I am at least eighteen (18) years of age and fully competent. I execute this document for full, adequate, and complete consideration fully intending to be bound by the same. I agree that this Waiver of Liability shall be governed by and construed in accordance with the law of the Commonwealth of Massachusetts, and that if any of the provisions hereof are found to be unenforceable, the remainder shall be enforced as fully as possible and the unenforceable provision(s) shall be deemed modified to the limited extent required to permit its enforcement as a whole.

By typing my name, I have read and understand the above statement.

* For Parents/Caregivers: Memorandum of Understanding: CHALLAH Staff will review appropriate behaviors and expectations with students. Bullying, including cyberbullying, during a session or outside of a session will not be tolerated. Issues and consequences will be addressed with the student and a parent.

By typing my name, I have read and understand the above statement.

* Media Release for Parents/Caregivers: From time to time your teen'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 OneI grant permission for my child(ren)'s image to be used in all mediaI grant permission for my child(ren)'s image to be used only in internal synagogue mediaI do not grant permission for my child(ren)’s image to be used

Section D: Additional Information

Is there anything else you want us to know about you or your family as we enter into the school year?

Section E: Membership

While CBI family membership is not required to enroll in CHALLAH, we encourage it! We are trying to build a meaningful and authentic community within CHALLAH. We also aim to encourage the development of strong bridges between our CHALLAH families and the broader community at CBI and Abundance Farm. In a world where so many people feel isolated and long for deep connection, we offer a unique, inclusive, multi-generational community that offers a wide range of services, programs and opportunities for connection.

If you are interested in learning more about CBI membership, we would love to talk with you! If you click the box below, someone will be in touch with you shortly.

Are you interested in CBI Membership?

I am already a CBI memberI am interested in CBI membershipI am not interested in CBI membership at this time

Section F: Payment Information

Your CHALLAH tuition total is below. If you requested financial aid, we will be in touch with you and your total will be adjusted after you speak to Rabbi Ariella Rosen.

If you wish to pay with check or requested financial aid, please select "bill to account" on the next page. That will allow you to complete the form without payment. Rabbi Ariella Rosen will follow up with you to discuss your household's payment plan.

Total Amount