Shule Student Registration 2025-26

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Dear New and Returning Parents:

Welcome to the 2025-26 Shule year! And welcome to our Workers Circle community!

Parent/Guardian Contact Information

Parent/Guardian #1 First Name

Parent/Guardian #1 Last Name

Parent/Guardian #1 Email Address

Parent/Guardian #1 Cell Phone

Parent/Guardian #1 Occupation

Parent/Guardian #1 Address

Street address

Apartment / suite number

Country

City

State

ZIP

Parent/Guardian #2 Contact Information

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Email Address

Parent/Guardian #2 Cell Phone

Parent/Guardian #2 Occupation

Is Parent/Guardian #2's Address the same as Parent/Guardian #1?

Parent #2 Address

Street address

Apartment / suite number

Country

City

State

ZIP

Registration

Student Enrollee Information

Student First Name

Student Last Name

Student Birth Date

Shule Grade Fall 2025 (Select from Dropdown)

Pronouns

Pronouns not listed, please add here:

Has Student attended Shule before? (Please choose NO if you have only attended Circle Playtime.)

YesNo

Please let us know about your child's learning needs, including any IEP or 504 plans that are in place for your child. This information will help the teachers and Shule better meet the needs of your child.

Medical Consent and Emergency Information

Emergency Contact

It is important that we have an emergency contact if parents can't be reached.

Emergency Contact: First Name

Emergency Contact: Last Name

Emergency Contact: Relationship to Child

If Other, please specify the type of relationship:

Emergency Contact: Phone Number

Pertinent Medical Information

Please list any other pertinent medical information (food or medication allergies). Enter "NA" if not applicable:

Permissions

I hereby give permission to the staff of the Boston Workers Circle to administer basic first aid and/or CPR to my child and/or take my child, to a hospital for medical treatment when I cannot be reached or when delay would be dangerous to my child's health. I agree to pay for any expenses incurred.

I also give permission for the staff to take my child out of the school building for recess.

Parent/Guardian Signature

Parent/Guardian Signature Date

Person Authorized for Pick-up

The following additional people are authorized to pick my child up from Shule; we encourage carpools.

Pickup Person: First Name

Pickup Person: Last Name

Pickup Person: Relationship to Child

If Other, please specify the type of relationship:

Pickup Person: Phone Number

If there are any custody issues or adults who may NOT pick up your child, please provide names and other information as appropriate.

Photo/Video Permission

I/we hereby grant permission to Boston Workers Circle to use photos or video of my child(ren) and/or me/us, in printed or electronic materials (including our member newsletter, website, facebook/instagram, and live streams).

When photos are posted and/or used, no names or other identifying information is included. With this in mind, we ask that all families opt-in at this time.

If you opt out, we require a recent photograph of your child (emailed to meira@circleboston.org) AND ask that you discuss your decision with your child so they understand that they will be excluded from all photos at Shule to avoid accidental posting and/or use of their photo in the future.

YesNo (I will email a recent photo of my child to meira@circleboston.org and discuss this decision with my child.)Restricted Permission (I'm comfortable with their photo being used in some but not all communications. Please specify below in the Other box.)

Photo/Video Permission Other, please specify:

Additional Questions or Comments

Questions or Comments?

Registration Counter

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Payment

PAYMENT PLANS & TUITION ASSISTANCE

2025-2026 Tuition

First Student:

Higher Income - Full Year: $1,390
Moderate Income - Full Year: $1,170
Limited Income - Full Year: $995

Each Additional Sibling:

Higher Income - Full Year: $1,260
Moderate Income - Full Year: $1,035
Limited Income - Full Year: $875

Please don't let cost stop you from enrolling your child(ren). Boston Workers Circle is committed to making sure all interested families are able to attend Shule by offering Tuition Assistance. Requests should be sent as soon as possible; requests are considered on a rolling basis.

To apply, complete this document: Tuition Assistance Request

If you are joining more than 2 months into the Shule year, contact Sandy@circleboston.org for pro-rated tuition.

First Tuition Payment due by August 31. You may pay your Shule tuition as 2 payments, due August 31 & January 31.

Please remember that Shule Families are also expected to pay Membership for the current school year, 25-26 (starting in June 2025).

Total Number of Students Registered

Please Select Your Tuition Level For Your Student(s)

Higher IncomeModerate IncomeLimited Income

Full Tuition Total

You have completed the registration portion. Would you like to make a credit card payment now?

YesNo, I am mailing a check (BWC, 6 Webster Street, Brookline MA 02446)No, I will make a payment before August 31No, I am applying for Tuition Assistance

Tuition Assistance Form

To apply, complete this document: Tuition Assistance Request

Payment Detail

I am making...

An Initial 50% PaymentFull Payment

Total Payment Today

Credit Card Information

Name on Card

Billing Email

Billing ZIP Code

Credit Card Number

CVV

Expiration Month (MM)

Expiration Year (YYYY)

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