JKC Registration

Jewish Kids Club Registration
How many children are you registering? *
Full Name of child #1*
First Name Last Name
Age of child #1*
Allergies, Medical Concerns, or Anything You’d Like Us to Know?
Child #1: Registration*

Full Registration - 9 Sessions ($120 total)Single Sessions
Single Session Registration* Prefer to go one at a time? You’ll be able to choose which session(s) you'd like to attend.

High Holidays-September 16Sukkot - October 9Kosher Day - November 12Chanukah - December 11Explore Shabbat - Janurary 14Purim- February 24Passover - March 23Lag Baomer - April 29Shavuot - May 18
Full Name of child #2*
First Name Last Name
Age of child #2*
Allergies, Medical Concerns, or Anything You’d Like Us to Know?
Child #2: Registration*

Full Registration - 9 Sessions ($120 total)Single Sessions
Single Session Registration* Prefer to go one at a time? You’ll be able to choose which session(s) you'd like to attend.

High Holidays-September 16Sukkot - October 9Kosher Day - November 12Chanukah - December 11Explore Shabbat - Janurary 14Purim- February 24Passover - March 23Lag Baomer - April 29Shavuot - May 18
Full Name of child #3*
First Name Last Name
Age of child #3*
Allergies, Medical Concerns, or Anything You’d Like Us to Know?
Child #3: Registration*

Full Registration - 9 Sessions ($120 total)Single Sessions
Child #3: Single Session Registration* Prefer to go one at a time? You’ll be able to choose which session(s) you'd like to attend.

High Holidays-September 16Sukkot - October 9Kosher Day- November 12Chanukah - December 11Explore Shabbat - Janurary 14Purim- February 24Passover - March 23Lag Baomer - April 29Shavuot - May 18
Parent or Guardian Information
Name of parent or guardian*
First Name Last Name
E-mail*
Phone Number*
How did you hear about JKC?*
Payment
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
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Name on Card
Expiration Month	Expiration Year

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Jewish Kids Club Registration

Parent or Guardian Information

Payment