Virtual Study Buddies Interest Form

Virtual Study Buddies

Thank you for your interest in JCC Greater Boston’s Virtual Study Buddies. Please complete this form so that we can learn more about your family's interests and needs. This program is fully customizable based on your child and your schedule. We will follow up to connect with you personally. We look forward to supporting your family this school year!

For more information and pricing, visit bostonjcc.org/studybuddies or contact us at family@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 2020 *

Elementary School *

Does your child receive an IEP? *

Is your child attending school: *

Fully In-Person

Fully Remote

Hybrid

Don't Know Yet

Child #2 (click here to collapse or expand)

Child's Name

Child's Date of Birth

Year

Month

Day

Gender

Grade as of Fall 2020

Elementary School

Does your child receive an IEP?

Is your child attending school:

Fully In-Person

Fully Remote

Hybrid

Don't Know Yet

Child #3 (click here to collapse or expand)

Child's Name

Child's Date of Birth

Year

Month

Day

Gender

Grade as of Fall 2020

Elementary School

Does your child receive an IEP?

Is your child attending school:

Fully In-Person

Fully Remote

Hybrid

Don't Know Yet

Parent/Guardian Name *

Street Address *

City *

State *

Zip Code *

Phone *

Email *

Multiple Families *

Are you planning to coordinate including one or two additional children from your child's class in Virtual Study Buddies?

Yes

I'm not sure yet

Is there anything else you would like to share about your family, your child(ren), your school or your schedule?

I am also interested in:

Virtual Enrichment Classes

Virtual Holiday Programming

In-Person Enrichment Classes

In-Person Remote Learning Support & Activities

How did you hear about Virtual Study Buddies?

JCC Email

Word of Mouth

Leave this field blank

Search form

Virtual Study Buddies