Discovery Club Interest Form | JCC Greater Boston

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Discovery Club

Thank you for your interest in JCC Greater Boston’s Discovery Club – an enriching after-school program with integrated Jewish content, swimming, activities and connection. Please complete this form so that we can learn more about your family's interests and needs. We look forward to supporting your family in the 2021-2022 school year!

This program is expected to fill quickly. Completing this Interest Form will give you priority when registration goes live.

For more information, visit bostonjcc.org/discoveryclub or contact us at discoveryclub@jccgb.org.

Number of Children Interested from Your Family *

Child #1 (click here to collapse or expand)

Child's Name *

Child's Date of Birth *

Year

Month

Day

Gender *

Grade as of Fall 2021 *

Elementary School *

Does or will your child receive an IEP or 504 Plan? *

Child #2 (click here to collapse or expand)

Child's Name *

Child's Date of Birth *

Year

Month

Day

Gender *

Grade as of Fall 2021 *

Elementary School *

Does or will your child receive an IEP or 504 Plan? *

Child #3 (click here to collapse or expand)

Child's Name *

Child's Date of Birth *

Year

Month

Day

Gender *

Grade as of Fall 2021 *

Elementary School *

Does or will your child receive an IEP or 504 Plan? *

Parent/Guardian Name(s) *

Street Address *

City *

State *

Zip Code *

Best Phone Number *

Email Address *

Your Schedule *

Discovery Club will be open after school hours plus early release days and remote days. The schedule will be created around the public school calendars and the needs of families. There will be a two day minimum for attending. When would you be most interested in attending Discovery Club? (check all that apply)

Transportation *

Based on interest, availability and routes, we intend to offer safe, reliable transportation from select elementary schools provided by trusted local companies for an additional fee. Will you require transportation from your child’s school in order to attend this program?

Financial Assistance *

Discovery Club is a competitively priced program and includes swimming, enrichment activities, early release days, healthy snacks, regular COVID surveillance testing and much more. Transportation is an optional add on. Discounts will be offered for siblings, JCC members, and ELC families. Detailed information will be shared when registration goes live. Would you be interested in applying for financial assistance?

(Other) How did you hear about Discovery Club?

I acknowledge and agree to the Privacy Policy and expressly consent to JCC Greater Boston's use of this information to contact me, which may include sending me electronic commercial or promotional messages, which I may opt out of at any time.

I Agree

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Discovery Club