Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Password must contain the following:

12 Characters
1 Uppercase letter
1 Lowercase letter
1 Number
1 Special character

Yoga with Stephanie | Spring Session 2

May 20, 27, June 10, 17, 24, July 1
9:30 - 10:30 am

Prepare for the summer by building your strength, balance and alignment through the practice of yoga. Join experienced yoga teacher Stephanie Javaheri for a weekly mindful yoga ‘work in’ to cultivate awareness physically and mentally. Feel better in your body and your mind. Slow physical movement, breathwork, and meditation blend together in this one hour class. All you need is an open spirit, a yoga mat, and a non-cork set of blocks.

Fee: $60/pp for members | $85/pp for non-members

____________________________________________________

Thank you for your interest in Yoga with Stephanie | Spring Session 2. This form is currently closed. Please reach out to the program organizer, Lynn Burke Harrell at lharrell@tbewellesley.org with any questions.

TBE Form Password:
Please press the shift key after you enter the password.

🧾 Form-Level Questions

✅ Customize This Section
This section is for form-wide questions like “How did you hear about us?” or “Would you like to volunteer?”
Feel free to add or remove questions here based on the event needs.

ADULT TRIPS OR RETREATS | HIGHLIGHTS

3 nights at the Hyatt Centric Philadelphia

3 dinners

Mini-bus transportation to/from all activities:

Historic Walking Tour – Discover essential highlights of the American Revolution with a professional historian in historic Philadelphia.

Mural Arts Walking Tour – Explore vibrant public art throughout the Queen Village and Bella Vista neighborhoods.

Philadelphia’s Magic Gardens – Experience Isaiah Zagar’s immersive, mixed-media art environment.

Eastern State Penitentiary – Visit America’s first penitentiary and engage with exhibits that deepen understanding of the criminal justice system and its impact.

Friday Night Services at Rodeph Shalom – Worship at one of the oldest synagogues in the United States and connect with the local Jewish community.

Wilderness Generation at the Philadelphia Theater Company – Enjoy a powerful, funny, and deeply human world premiere by Pulitzer Prize winner James Ijames, exploring memory, family, and the legacies we carry.

Weitzman National Museum of American Jewish History – Tour the nation’s leading museum dedicated to the American Jewish experience within the broader sweep of American history.

Important Notes:

You are responsible for your transportation to and from Philadelphia. Please plan to arrive at the Hyatt Centric by 2:00 pm on Thursday, April 16th. Planned activities will conclude by 1:00 PM on Sunday, April 19th.

This itinerary includes significant walking and standing—rain or shine—including an extended period from 9:00 am to 4:00 pm on Friday.

Please note that this itinerary has been confirmed but changes may be required due to factors beyond our control.

ADULT TRIP | PRICING

The price per person is:

$1,580 for double occupancy; $1,975 for single occupancy.

The price does not include: transportation to/from Philadelphia, breakfasts, lunches, cocktails at dinner, parking at the hotel.

Refunds will be available if there are people to take your place.

For singles signing up for a double occupancy room, please register your roommate and provide their necessary information in the registration section of the form below as the adult attending with you.

If you choose to arrive before Thursday or stay an extra day or two, we can reserve a room for you at our discounted group rate. Note: you will pay the hotel directly for any extra nights, and you can cancel these extra nights up to 72 hours before check-in time. Once you select your room accommodations, please indicate if you plan to stay for additional nights.

____________________________________________________

For room accommodations, I/we would like:

Roommate First Name

Roommate Last Name

ADULT RETREAT | PRICING

The price per person is:

Member: $405 for double occupancy; $505 for single occupancy.
Non-Member: $480 for double occupancy; $580 for single occupancy.

Refunds will be available if there are people to take your place.

For singles signing up for a double occupancy room, please register your roommate and provide their necessary information in the registration section of the form below as the adult attending with you. This information will only be shared with the staff organizer.

____________________________________________________

Are you a TBE Member?

YesNo

For room accommodations, I/we would like:

Roommate First Name

Roommate Last Name

PROGRAM DATES

I/we would like to register for the following date:

Thursday, April 30, 2026 | 7:30 pmSaturday, May 2, 2026 | 7:30 pm Sunday, May 3, 2026 | 4:00 pm

Thursday, April 30, 2026: 7:00-10:00 pm

Saturday, May 2, 2026: 7:00-10:00 pm

Sunday, May 3, 2026: 4:00-7:00 pm

DINNER & PROGRAM REGISTRATION

Please select your preferred option for the in-person activities:

Dinner & Program (In-Person)Program (In-Person)Online

Dinner Form Password

____________________________________________________

Thank you for your interest in Event Title. Dinner registration is currently closed.

If you would like to attend dinner, please contact Susan Karon at skaron@tbewellesley.org regarding current availability.

TBE Form Password:
Please press the shift key after you enter the password.

ATTENDEES

👥 Attendee Section

⚠️ Do Not Edit This Section
This repeatable section collects info for each person attending (name, email, etc.).
It is synced with Salesforce. Do not change, delete, or add fields to this section.

Contact information for students receiving care packages:

Contact information for youth attending TGIS:

First Name

Last Name

Primary Email

Are you a TBE Member?

YesNo

Mobile Phone

🎟️ Attendee Questions Section

✅ Customize This Section
Use this area to add event-specific questions for each attendee (e.g. meal choices, shirt size, age group).
You may add checkboxes, radio buttons, or dropdowns. Make labels clear for attendees.

Date of Birth

Age

Pronouns

Grade

Participating in Shul-Under?

YesNo

Please list any dietary restrictions and/or food allergies:

Please list any general allergies and/or allergies to medications:

Please list any medical concerns or conditions:

Please list any accessibility or accommodations you might need to make your experience healthy and meaningful

6th & 7th GRADE SHUL-UNDER

Our 6th and 7th graders are also invited to stay late for a very special event, featuring special activities, dessert, and late night fun for our B’Yachad community.

Please review the Brit Kehilah (community agreement) by clicking HERE

I have read and agree to the above linked Brit agreement:

Yes

Is there anything we should know to help your child(ren) have a great time at this event?:

EMERGENCY CONTACT

Full Name

Mobile Phone

REGISTRATION - SLIDING

Mondays, October 20, 27, November 3, 10, 17, December 1, 8, 15 | 6:00-9:00 pm

Fee: Members: Sliding scale of $180 / $270 (suggested) / $360 | Non-members: $450

This fee helps us cover the cost of the kiln and materials.

___________________________________________________

Are you a TBE Member?

YesNo

Non-member session fee:

Please select the amount you'd like to pay:

$180$270 (Suggested)$360

ADULT TRIPS | EXTEND STAY

Before Thursday, April 16th, I would like to stay for the additional nights as indicated below:

After Sunday, April 19th, I would like to stay for the additional nights as indicated below:

STUDENT CARE PACKAGE INFORMATION

School Name

Mailing Street

Dorm/Room #:

Mailing City:

Mailing State:

Mailing Zip code:

Food allergies/concerns:

Winter Break Start Date

Summer Break Start Date

Attendee Subtotal:

Attendee Program Subtotal:

Attendee Count:

TBE Member:

NonMember:

REMINDER: Don't forget to add your additional trip participant by clicking "Add another attendee directly below.

REGISTRATION

Are you a TBE Member?

YesNo

What is your connection to TBE?

Number of attendees:

Number of youth attending:

STUDENT CARE PACKAGES

Rosh Hashanah Package: How many package(s) would you like to send for Rosh Hashanah?
$18.00 per student

Chanukah Package: How many package(s) would you like to send for Chanukah?
$18.00 per student

Passover Package: How many package(s) would you like to send for Passover?
$18.00 per student

Please contact me to help with mailings?

YesNo

REGISTRATION - CHECKBOXES

We would like to register for the following programs:
You can always come back to this form and register for additional programs in the future!

Friday, September 12, 2025: 5:00-7:00pmFriday, October 10, 2025: 5:00-7:00pmFriday, November 14, 2025: 5:00-7:00pmFriday, December 5, 2025: 5:00-7:00pm

REGISTRATION - MULTISELECT

I/we would like to register for the following program(s): If a partner is joining you on zoom, please select 2 for attendance. Otherwise, select 1.

December 9, 2025 | Rabbis Joel Sisenwine & Rachel Saphire - Celebrating Jewish Holidays w/ Children & Grandchildren

January 6, 2026 | Rabbi Jordy Callman - Navigating Antisemitism and Israel w/ Children & Grandchildren

February 3, 2026 | Rabbi Ben Rosen - Passing on Meaningful Family Stories

March 17, 2026 | Cantor Jodi Sufrin - Grandparenting Interfaith Grandchildren

April 6, 2026 | Mental Health Clinician Tamar Forman - Connecting Emotionally with Your Grandchildren

May 12, 2026 | Rabbi Philip Sherman - Grandparenting through a Jewish Lens

TGIS | PARENT & EXTENDED FAMILY REGISTRATION

Number of parents/guardians:

First Name

Last Name

First Name

Last Name

First Name

Last Name

___________________________________________________

Number of additional guests: (grandparents, aunts, uncles, cousins, etc.

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

___________________________________________________

DIETARY RESTRICTIONS & FOOD ALLERGIES

Please list any dietary restrictions and/or food allergies in your family:

Chicken will be served. If you have addition concerns, please contact Eliana Stein at EStein@TBEWellesley.org.

Feel free to bring your favorite wine or soft drink to share!

CIRCLE OF CONNECTIONS | COHORT CHOICES

I am interested in the following cohort(s):
Dates will appear once you select a cohort option. You can always come back to this form to register for additional cohorts in the future!

Peer-Led Support Circles for Parents of School-Age Children K-12 | In PersonPeer-Led Support Circles to Process the Nova Exhibition | OnlinePeer-Led Support Circles to Process the Nova Exhibition | In PersonPeer-Led Support Circles - Open to All | In PersonPeer-Led Support Circles - Open to All | Online

Peer-Led Support Circles for Parents of School-Age Children K-12 | In Person
Sundays, September 21, October 5 & 19| 10:30 am-12:00 pm

Registrants can sign up for 1, 2, or all 3 sessions

I would like to register for the following session(s):
You can always come back to this form and register for additional sessions in the future!

Sunday, September 21 | 10:30 am -12:00 pm
Limit of 10 participants

Sunday, September 21 | 10:30 am -12:00 pm FULL