New Student enrollment

Enrollment for Fall - Winter Session of JKids Club IS HERE!

We are currently accepting applications for 2024 - 2025 JKIDS CLUB SESSION!

Please fill out ALL fields of this form.
Please fill one form per child.

If you have any questions, concerns or if you'd like to discuss our program over the phone/in person before filling out this form please contact us.

We look forward to a wonderful season of hand on Jewish discovery!

Full Name*

First Name Last Name

E-mail*

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Additional notable Information

Parent 2 Full Name*

First Name Last Name

Phone Number*

Area Code Phone Number

E-mail*

Address (If different than above)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status*

MarriedSeparatedDivorced

Student Full Name*

First Name Last Name

Birth Date

Month Day Year

Hebrew Name

Gender

MaleFemale

What school does your child attend?*

Grade Entering

Does your child have a previous Jewish education?

YesNoSomewhat

Does your child speak/understand/read Hebrew?

WellNonesomewhat

Is the child's biological mother born jewish?

YesConvertedNot Jewish

Is the maternal grandmother born Jewish?

YesConvertedNot Jewish

If Yes, Converted By Whom?

Have there been any conversions or adoptions in the family? If yes please explain.

Emergency Contact

First Name Last Name

Phone Number

Area Code Phone Number

Relationship

Does your child have any allergies?*

- Cost for 13 Sessions of Jkids is $500 it includes all materials and fees.

- A special $50 discount for any additional child
- * Synagogue membership is NOT required.
- Please note, that no child will be turned away due to lack of funds.
- For Tuition assistance please fill out the scholarship application by clicking here

After you have successfully submitted your application it will be subject to review. A team member will reach out to schedule a follow up call to discuss your application and confirm it's approval. Once approved an invoice will be sent to complete your child's enrollment.

by submitting this application i hereby confirming that i have read the JKids discovery program policy and agree to it all

Total

$0.00

Payment

Credit Card Paypal I would like to set a payment plan

Postal / Zip Code

Country

JKids Club

1. Your Information

2. Student Information

3. Emergency Information

4. TUITION AND FEES AND HOW TO SAVE

5. ENROLLMENT

6. PAYMENT

Synagogue Services

Adult Education

SUMMER CAMP

High Holiday With Chabad

Women's Events

Community Support