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Jewish Kids Club

We are currently accepting application forms for the upcoming school year. Please fill out all fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us at 347-486-2137
Please note that one registration form per child is needed.
We look forward to a wonderful year of learning and growth.
Tuition Cost is $650 per child.
Starting date: September 15, 2020
Student Information:
Student Full Name*
First NameLast Name
Hebrew Name*
DOB*
MonthDayYear
Grade entering*
School*
Is the natural mother of the child Jewish?*
YesNo
Any adoptions or conversions in the family?*
YesNo
If yes, please explain:
Previous Jewish Education*
YesNo
Name of Sibling
Birth Date of Sibling
MonthDayYear
Name of Sibling
Birth Date of Sibling
MonthDayYear
Name of Sibling
Birth Date of Sibling
MonthDayYear
Parent Information:
Father's Name*
First NameLast Name
Phone Number*
Area CodePhone Number
Mother's Name*
First NameLast Name
Phone Number*
Area CodePhone Number

Address*

Father's E-mail*
Mother's E-mail*
*
I hereby give permission for my child to be photographed. Photos may be used for promotional purposes for Chabad of West Davie
Full Name of Parent*
First NameLast Name
Initials:*
Payment Information:
Your application is not complete without a payment plan. Chabad Hebrew School does not reject anyone due to the lack of funds. If you feel that you need a special payment plan please call 347-486-2137. Tuition cost is $650 per child.
Payment Options:*
Pay in full- $650Payment Plan- Please note registration is not complete until your payment plan has been confirmedFirst free 2 week trial option for new students
Total
$0.00 USD

Payment Method*

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Student Information: