Moving Traditions Registration

• Welcome!

  The *NEW* Rivertowns Moving Traditions group for 8th and 9th graders from Temple Beth Abraham, the Shames JCC, and Greenburgh Hebrew Center is starting its inaugural year! Teens will meet monthly on Wednesdays from 6:30-7:45pm at the Shames JCC on the Hudson.

  It’s not easy being a teenager. Even outside of school, the pressure is on, and issues like self-esteem, body image, competition, and relationships add to the noise. This is why real friendships and trusted mentors are important, and the values and support of Jewish community can be a positive guiding force. And this is why Moving Traditions created Rosh Hodesh and Shevet. Once a month, in small peer groups with trained adult mentors, teens bond and have open conversations in a safe space. Rosh Hodesh and Shevet both have a positive and lasting impact on teens, empowering them to become strong, confident, and happy young adults.

The cost for participation in this program is $180.00/per 8th or 9th grader (not including credit card fee).
Meeting dates at the Shames JCC on the Hudson are as follows:

• Wednesday, September 18 from 6:30-7:45pm - A Taste of Moving Traditions
• Wednesday, October 16 from 6:30-7:45pm
• Wednesday, November 20 from 6:30-7:45pm
• Wednesday, December 18 from 6:30-7:45pm
• Wednesday, January 22 from 6:30-7:45pm
• Wednesday, February 12 from 6:30-7:45pm
• Wednesday, March 18 from 6:30-7:45pm
• Wednesday, April 22 from 6:30-7:45pm
• Wednesday, May 20 from 6:30-7:45pm

A few items to highlight:

If you need any assistance, please let us know and we will be happy to help! As always, thank you for your support as we plan for the upcoming year. Our goal is to provide your children and your family with the best Jewish education possible.

Looking forward to a wonderful year of learning, community and chesed.

L'shalom,

Stessa Peers
Director of Youth Engagement

• Student 1 Information

  Please note that all information collected in this registration form will be shared with the Shames JCC on the Hudson as relevant to the administration of the Moving Traditions program.
• Student 1 Name*
  First Last
• Student 1 Date of Birth*
  Month

  Day

  Year
• Student 1 Hebrew Name*
• Name of Student 1's School*
• Student 1 Grade Fall 2019*
• Student 1 Gender*
  Please complete with terms that speak to how your child identifies.
• Student 1 Email (optional)
• Student 1 Moving Traditions option*
  Our Moving Traditions groups, Rosh Hodesh and Shevet, will challenge your teens to think critically about and apply Jewish wisdom to the issues that matter to them most, including academic stress, friendship, body image, and peer pressure. Moving Traditions’ programs fill an important need in teens’ lives. Through supportive peers, an inspiring adult mentor, and of course your love and support as a parent, we aspire to empower your teen to grow into a healthy, successful, and connected Jewish adult. Rosh Hodesh: Rosh Hodesh is Moving Traditions’ group for girls, female identifying teens, and teens who would feel most comfortable with that group. For more information please check out Moving Traditions’ website: https://www.movingtraditions.org/programs/rosh-hodesh/ Shevet: Shevet is Moving Traditions’ group for boys, male identifying teens, and teens who would feel most comfortable with that group. For more information please check out Moving Traditions’ website: https://www.movingtraditions.org/programs/shevet/
  Please select class optionRosh ChodeshShevet Achim
• Student 1 Medications*
  Please list any medications that your child takes (or "none" if not applicable).
• Student 1 Allergies*
  Please indicate any food or medication allergies (or "none" if not applicable).
• Does student 1 have an IEP or 504 Plan in school?*
  IEP or 504 Plan?NoYes
• We will contact you to discuss any accommodations that your child might need.
• Do you have a 2nd child to register?
  NoYes

• Student 2 Information

  Please note that all information collected in this registration form will be shared with the Shames JCC on the Hudson as relevant to the administration of the Moving Traditions program.
• Student 2 Name*
  First Last
• Student 2 Date of Birth*
  Month

  Day

  Year
• Student 2 Hebrew Name*
• Name of Student 2's School*
• Student 2 Grade Fall 2019*
• Student 2 Gender*
  Please complete with terms that speak to how your child identifies.
• Student 2 Email (optional)
• Student 2 Moving Traditions option*
  Our Moving Traditions groups, Rosh Hodesh and Shevet, will challenge your teens to think critically about and apply Jewish wisdom to the issues that matter to them most, including academic stress, friendship, body image, and peer pressure. Moving Traditions’ programs fill an important need in teens’ lives. Through supportive peers, an inspiring adult mentor, and of course your love and support as a parent, we aspire to empower your teen to grow into a healthy, successful, and connected Jewish adult. Rosh Hodesh: Rosh Hodesh is Moving Traditions’ group for girls, female identifying teens, and teens who would feel most comfortable with that group. For more information please check out Moving Traditions’ website: https://www.movingtraditions.org/programs/rosh-hodesh/ Shevet: Shevet is Moving Traditions’ group for boys, male identifying teens, and teens who would feel most comfortable with that group. For more information please check out Moving Traditions’ website: https://www.movingtraditions.org/programs/shevet/
  Please select class optionRosh ChodeshShevet Achim
• Student 2 Medications*
  Please list any medications that your child takes (or "none" if not applicable).
• Student 2 Allergies*
  Please indicate any food or medication allergies (or "none" if not applicable).
• Does student 2 have an IEP or 504 Plan in school?*
  IEP or 504 Plan?NoYes
• We will contact you to discuss any accommodations that your child might need.
• Do you have a 3rd child to register?
  NoYes

• Student 3 Information

  Please note that all information collected in this registration form will be shared with the Shames JCC on the Hudson as relevant to the administration of the Moving Traditions program.
• Student 3 Name*
  First Last
• Student 3 Date of Birth*
  Month

  Day

  Year
• Student 3 Hebrew Name*
• Name of Student 3's School*
• Student 3 Grade Fall 2019*
• Student 3 Gender*
  Please complete with terms that speak to how your child identifies.
• Student 3 Email (optional)
• Student 3 Moving Traditions option*
  Our Moving Traditions groups, Rosh Hodesh and Shevet, will challenge your teens to think critically about and apply Jewish wisdom to the issues that matter to them most, including academic stress, friendship, body image, and peer pressure. Moving Traditions’ programs fill an important need in teens’ lives. Through supportive peers, an inspiring adult mentor, and of course your love and support as a parent, we aspire to empower your teen to grow into a healthy, successful, and connected Jewish adult. Rosh Hodesh: Rosh Hodesh is Moving Traditions’ group for girls, female identifying teens, and teens who would feel most comfortable with that group. For more information please check out Moving Traditions’ website: https://www.movingtraditions.org/programs/rosh-hodesh/ Shevet: Shevet is Moving Traditions’ group for boys, male identifying teens, and teens who would feel most comfortable with that group. For more information please check out Moving Traditions’ website: https://www.movingtraditions.org/programs/shevet/
  Please select class optionRosh ChodeshShevet Achim
• Student 3 Medications*
  Please list any medications that your child takes (or "none" if not applicable).
• Student 3 Allergies*
  Please indicate any food or medication allergies (or "none" if not applicable).
• Does student 3 have an IEP or a 504 Plan?*
  IEP or 504 Plan?NoYes
• We will contact you to discuss any accommodations that your child might need.
• Do you have a 4th child to register?
  NoYes
• Please submit your registration form with the information for your first 3 children and contact the office to provide the information regarding any additional children you wish to register with the school.

• Emergency Contact Information

  Please note that Emergency Contact Information will be shared directly with the Shames JCC on the Hudson staff.
• Family Physician Name*
• Physician's Phone*
• Emergency Contact Name*
• Emergency Contact Phone*
  In the event that a parent cannot be reached, please provide a local emergency contact.
• Emergency Contact's Relationship to Student*

• Additional Information About Students

• If there is additional information you feel we should know about your child(ren), please include it here:

• Family Information

• Parent Name (1)*
  First Last
• Parent Name (2)
  First Last
• Primary Family & Student Address*
  This address will be used for all Religious School postal mailings
  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country
• Primary Phone*
• Email*
  (A confirmation will be emailed to this address and be used for all Religious School communication.)
  Enter Email Confirm Email
• Cell Phone (Parent 1)*
  Please note: this will be used by the Religious School as the primary contact number.
• Cell Phone (Parent 2)

• Total Amount Due

• Total JCC Moving Traditions Amount
  Price: $0.00
• All credit card payments are processed through TBA's PayPal account. You do not need a PayPal account to make a credit card payment on the PayPal site. You will be charged a 3% credit card fee for processing. The cost for participation of TBA members in Moving Traditions will be paid to the Shames JCC on the Hudson by TBA.