Freedom City Registration 2024 - 2025 - Form

Please log in to your Shulcloud account before completing this form.
If you do not have a Shulcloud account, email Kayla to set one up and then proceed with filling out the form. Thank you!

Welcome to Freedom City 2024 - 2025!

Early Registration (lock in last year's rate): Until June 30
$1200 per participant
Financial aid - $500 deposit per participant

Regular Registration: July 1 and later
$1350 per participant
Financial aid - $500 deposit per participant

More information on tuition payment below in form.

We are looking forward to putting Torah into action with you this year!

Youth Information

* How many participants are you enrolling in Freedom City this year?

* Participant 1's First Name

* Participant1's Last Name

* Participant 1's Pronouns

* Participant 1's Birthdate

* What school does Participant 1 attend?

* What is Participant 1's grade in Fall 2023?

Participant 1 Email

Participant 1 Phone Number

We want to make sure we are engaging your child in a way that best aligns with their needs and interests.

* Please let us know about any of Participant 1's learning needs, accessibility needs, health needs, or allergies.

* Please tell us a little about Participant1's passions, motivations, strengths, and/or anything else you think would be helpful for us to know to create an environment that aligns with Participant 1's interests and learning styles.

Participant 2's First Name

Participant 2's Last Name

Participant 2's Pronouns

Participant 2's Birthdate

What school does Participant 2 attend?

What is Participant 2's grade in Fall 2023?

Participant 2 Email

Participant 2 Phone Number

We want to make sure we are engaging your child in a way that best aligns with their needs and interests.

* Please let us know about any of Participant 2's learning needs, accessibility needs, health needs, or allergies.

* Please tell us a little about Participant 2's passions, motivations, strengths, and/or anything else you think would be helpful for us to know to create an environment that aligns with Participant 2's interests and learning styles.

Student 3 First Name

Student 3 Last Name

Student 3 Pronouns

Student 3 Birthdate

What school does Student 3 attend?

What is Student 3's grade in Fall 2022?

We want to make sure we are teaching your child in a way that best aligns with their needs and interests.

* Please let us know about any of Student 3's learning needs, accessibility needs, health needs, or allergies.

* Please tell us a little about Student 3's passions, motivations, strengths, and/or anything else you think would be helpful for us to know to create an environment that aligns with Student 3's interests and learning styles.

Permissions

* I authorize the staff to seek emergency medical treatment for my child(ren). Every effort will be made to contact the parent or emergency contact.

Yes

* I authorize the staff to give my child(ren) first aid if a minor injury occurs

Yes

* I give permission for photos and video of my child(ren), taken during Freedom City and events, to be used for internal use (The Kitchen newsletters/slideshows/etc).

YesNo

* I give permission for photos and video of my child(ren), taken during Freedom City and events, to be used for editorial or promotional purposes by Freedom City in any media, including print, online and video. The child's name will not be attached to any photo or video.

YesNo

Parent Information

* How many parents are in your family?

* Parent 1 First Name

* Parent 1 Last Name

Parent 1 Pronouns

* Parent 1 Email

* Parent 1 Phone

* Parent 1 Address Line 1

Parent 1 Address Line 2

* Parent 1 City

* Parent 1 Zip

* Parent 2 First Name

* Parent 2 Last Name

Parent 2 Pronouns

* Parent 2 Email

* Parent 2 Phone

Parent 2 Address Line 1

Parent 2 Address Line 2

Parent 2 City

Parent 2 Zip

Other:

* Building our Freedom City community is an ongoing process of sacred partnership. Help us grow the bonds of community by choosing one or more of the pathways listed.

Host (some) Freedom City sessions at your homeCarpool with other familiesContribute to Freedom City OutreachOther idea (enter below)

Other:

* Parent 3 First Name

* Parent 3 Last Name

Parent 3 Pronouns

Kitchen Membership

* Is your household a member at The Kitchen?

About Health & Safety at The Kitchen

If you have any symptoms of an illness or even just a cold, please stay home. We strongly encourage all attendees to be vaccinated for COVID-19, with a booster if eligible. This helps to keep us all as healthy as possible.

* By checking this box, we indicate that we have read and will abide by the above policy

By checking this box, we indicate that we have read and will abide by the above policy

Emergency Contact

* Name

* Relationship

* Phone Number

Tuition

Opting into the Freedom City community is a holy relationship and we are committed to ensuring that financial constraints are never a barrier to participation. At the same time, we rely on tuition to sustain the program.

How to pay in installments:
If you would like to pay the full tuition and submit your payment in installments, please select “Bill to my account” on the payment confirmation page. (This is only possible if you have logged into your Shulcloud account.) Then, you must set up installments in your account by going to "My Transactions" under "My Account". Please plan to complete all payments by April 1, 2025.

How to request financial aid:
If you would like to request financial aid, we ask that you make a $500 / participant deposit at this time. Our team will follow up soon to finalize tuition arrangements. It is possible to receive financial aid and also pay in installments.

Please be in touch with Kayla with any questions about Freedom City or enrollment. Please be in touch with Spencer with any financial aid questions.

Early Registration (lock in last year's rate): Until June 30
$1200 per participant
Financial aid - $500 deposit per participant

Regular Registration: July 1 and later
$1350 per participant
Financial aid - $500 deposit per participant

* Would you like to pay tuition or receive financial aid?

How many participants are you registering?

* Please tell us a bit about your family's financial situation

Please share how much financial aid (per participant) your family would like to receive

* If you would like to submit in installments, please select “Bill to my account” on the next page. Then visit "My Account and go to “My Transactions” to set up your monthly payments. By checking this box, we agree to pay all tuition and/or installments by April 1, 2024.

Yes

* We ask that you make a $500 per participant deposit at this time and we will be in touch about your financial aid.