Hebrew School Registration | www.jewishkids.club

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Parent info

First Name *

Last Name *

Email *

Street Address *

City *

Postal Code *

State/Province *

Mobile Phone Number *

Home Phone Number

How did you hear about us?

Is Jewish *

Yes

No

Did any of the parents or grandparents convert? *

No

Yes

Parent 2

Type in your spouse's name

If no spouse is found, simply enter your spouse's info below to add your spouse to the system

First Name *

Last Name *

Share address of

Home address is the same as parent 1

Street Address *

City *

Postal Code *

State/Province *

Mobile Phone Number *

Home Phone Number

Is Jewish *

Yes

No

Did any of the parents or grandparents convert? *

No

Yes

Child

Enter your child's name below

If your child's name is not found, simply enter your child's info below to add your child to the system

First Name *

Last Name *

Gender *

Name of School *

Birth Date *

Month

Day

Year

Hebrew Name

Example: David or דוד

Birth Date Before Sunset *

Yes

No

Child health info

Health insurance name *

Health insurance number *

Allergies *

Please list any medical and/or behavioral issues *

Which semester would you like to sign up for?

Hebrew School (Fall) - Begins September 11th, 2022

Hebrew School (winter) - Begins December 4th, 2022

Hebrew School (spring) - Begins March 5th, 2023

Hebrew School (Wednesdays - Fall) Begins September 14th, 2022

Hebrew School (Wednesdays - Winter) Begins December 7th, 2022

Hebrew School (Wednesdays - Spring) Begins March 8th, 2023

Full year Discount $

Fee per semester $

I accept the terms and conditions

click here to read the terms and conditions

Yes

No

Jewish Kids Club

office@jewishkids.club | (510) 859-8808 | Non profit 501(c)(3) ID # 83-0945973

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