New Student Application Form

Thank you for your interest in Shalom Extra Miles. We’re honored to support families with a nurturing, academically focused program for students in preschool through 6th grade. Our afterschool, drop-in, and summer offerings are designed to help each child thrive—academically, socially, and spiritually—within a supportive, values-based environment.

Please complete the form below to register your child for the upcoming year. Once accepted into the afterschool program, you will not need to complete a separate application for drop-in days or summer sessions, just let us know your needs as they come up.

Please note: Enrollment is contingent upon adherence to SEM policies. Continued participation requires respectful behavior and alignment with our community standards. We reserve the right to revoke enrollment if program rules are not followed.

If you have any questions along the way, we’re here to help.