2025-2026 Gan Keshet Preschool Application - Check Payment - Form

2025-2026 / 5785-5786

Applicants must be at least 2 years old and up to 5 years old by September 1st of the admission year.

PLEASE NOTE: If your child does not meet the requirement of two years old at the beginning of the 2025-26 school year, we may be unable to consider your application.

PLEASE NOTE: Your application is not complete and cannot be considered for enrollment until the $30.00 application fee is received.

Our official application period is November 1st through February 28th. Admissions decisions will be released in early March. Family will receive email notifications in regards to their admission status. If you are filling this form out after the February 28^th deadline your child will be placed on a waitlist in accordance with date of form and fee submission.

If you want to pay by credit card or automatic withdrawal: https://www.cbinorthampton.org/form/2025-2026-g.k.-preschool-application---check-payment.html

Applicant Information

* Child's first name

Middle name

* Last name

Nickname

* Birthday

* Child's age as of 9/1/25

(years/months)

* What pronouns does your child use?

* Has your child had previous preschool or daycare experience?

If so, please write the name and address of school or center, length of experience and contact person.

My electronic signature below authorizes Gan Keshet staff to discuss my child with the appropriate teacher/caregiver at his/her/their preschool or daycare, in regards to the best ways Gan Keshet may support my child's growth.

* Who does your child live with?

* Primary home address

* City

* Zip code

* Home phone

* Primary email address

* Child's physician

* Physician phone

Family Information

Please fill out the following contact information thoroughly. This information is used to be in touch with family about status of application, and beyond that, should the child become enrolled, this information is used to set up an online account for the purposes of tuition billing. Therefore, it is vitally important that we have all of the contact information requested below.

* Parent 1's/Guardian 1's Name

* Parent 1's/Guardian 1's Address

* Parent 1's/Guardian 1's Email

Preferred Pronouns

* Parent 1's/Guardian 1's Occupation

* Parent 1's/Guardian 1's Employer

* Parent 1's/Guardian 1's Business phone

* Cell phone

* Parent 2's/Guardian 2's name (or write n/a if one parent only)

* Parent 2's/Guardian 2's Address

* Parent 2's/Guardian 2's Email

Preferred Pronouns

Parent 2's/Guardian 2's Occupation

Parent 2's/Guardian 2's Employer

Parent 2's/Guardian 2's Business phone

* Cell phone

* Are you currently a member of Congregation B'nai Israel?

YesNo

Do you currently have a child enrolled at the Lander-Grinspoon Academy?

YesNo

Siblings' Names and Ages: Are any Gan Keshet Alumni? If yes, please indicate with an asterisk*

Has your child received early intervention services or are you in the process of exploring early intervention for your child? If so, please share a little bit about what services your child receives/what support you are looking for." At Gan Keshet, we love to build collaborative partnerships to support each child's individual needs and interests. To help set everyone up for success, it's helpful to have as much information as possible.

Is your child toileting independently? If no, please describe where your family is at in the toilet-learning process:

Children do not need to be toileting independently to be enrolled, but we ask because this information is helpful for us in being able to plan for the year ahead.

Program selection

Please note: Mondays are structured a bit differently than the rest of the week at Gan Keshet. On Mondays, children combine into one mixed-age class group, affectionately known as the Monday Funday crew, to foster community building and to facilitate planning time for each of our teaching teams (on rotation throughout the day). If you feel that a mixed-age experience or spending parts of the day with different teachers would be challenging for your child to navigate, please keep this in mind when making your schedule request.

Morning Program Enrollment Request: 8:15am - 12:45pm
Pick-up after lunchtime.

Please select the schedule you would like under the class option that matches your child's age as of September 1st, 2025.

Note: the 3 day schedule option (Tues, Wed, Fri) is only available for Kitah Parpar, our toddler class.

Garin (Seed)/ 2.10-3.10 years

N/AMonday-FridayTuesday-Friday

Chamaniah (Sunflower) ages 3.11-5.0

N/AMonday-FridayTuesday-Friday

Afternoon Program: 12:45pm - 3:00pm*
*(On Fridays only, from mid-November to mid-March, pick-up will be at 2:30pm due to the end of Daylight Savings time and Shabbat observance)
Pick-up after Rest Time and afternoon activities/play.

Please select the number of days you would like to request enrollment for your child in our Afternoon Program.

Afternoon Program is a continuation of our Morning Program and consists of a 45 minute rest/quiet time and afternoon group activities both inside and outside. Children who fall asleep during rest time are able to remain asleep until 2:45pm, when teachers will start to wake them and prepare them for pick-up time or Extended Day.

Note: Children are only eligible to attend Afternoon Program on days where they are enrolled in the Morning Program. If you are not requesting enrollment in the Afternoon Program, please select 0.

Days of requested Afternoon Program enrollment

What days would you like to sign-up your child for?

MondayTuesdayWednesdayThursdayFriday*Please note that your schedule requests for afternoon and extended day program are subject to availability. We will confirm your child's schedule selections with you later in the enrollment process*

Extended Day Programming: 3:00 - 5:15pm, Mondays through Thursdays
No Extended Day programming available on Fridays due to Shabbat observance.

Please select the number of days you would like to request enrollment for your child in our Extended Day Program.

Extended Day is a continuation of Afternoon Program. Children have a snack (provided from home) and enjoy a variety of indoor and outdoor gross motor play, art, and farm-focused activities.

Pick-up for Extended Day is any time between 3:05 and 5:15pm.

Please note: Children are only eligible for Extended Day Program on the days that they are also enrolled for Morning and Afternoon Program. If you are not requesting enrollment in Extended Day, please select 0.

Days of requested Extended Day program enrollment

What days would you like to sign-up your child for?

MondayTuesdayWednesdayThursday*Please note that your schedule requests for afternoon and extended day program are subject to availability. We will confirm your child's schedule selections with you later in the enrollment process*

Do you currently have or are you on the waitlist for a Seven Hills voucher?

YesNoNot Sure

What are you looking for in a preschool experience for your child?

Is there anything else you'd like to share with us about your child/your family?

Please review the acceptance procedure details in our Admissions Policy on our webpage.

Scholarships: Limited scholarship funds are available through the Alberts' Memorial Scholarship Fund. Scholarship decisions take place in April each year, after a family has received an acceptance letter but before the need to confirm enrollment by signing a contract. If interested in receiving more information and applying for the scholarship, please check off this box.

A $30.00 non-refundable application fee is required when this application is submitted.

Make check payable to "Gan Keshet Preschool" and indicate it is for "SY25-26 Application Fee".

Please mail check to:
Gan Keshet Director: Kate Holdsworth
Congregation B'nai Israel
253 Prospect St.
Northampton, MA 01060

Parent Name

* By e-signing above, I attest that all information on this form is true and correct to the best of my knowledge. My signature also represents that I am prepared for the financial responsibility of paying tuition for the 2025-2026 school year should my family be accepted into the program and choose to move forward in the enrollment process at Gan Keshet Preschool.

By e-signing above, I attest that all information on this form is true and correct to the best of my knowledge. My signature also represents that I am prepared for the financial responsibility of paying tuition for the 2025-2026 school year should my family be accepted into the program and choose to move forward in the enrollment process at Gan Keshet Preschool.

* Your application will not be considered as "complete" until payment has been received for the application fee. This fee is $30.00. By checking this box, you acknowledge you understand.

Your application will not be considered as "complete" until payment has been received for the application fee. This fee is $30.00. By checking this box, you acknowledge you understand.