Jewish Kids Club Registration

Kids Club will meet on Wednesdays, 4:00 - 5:30 PM

Starting: September 2023
Ends: June 2024

Regular Price: $1000.00 per child

How many children will you be registering today?*

(1) Full Name*

First Name Last Name

(1) Hebrew Name*

First Name Last Name

(1) Birth Date*

Month Day Year

(1) School*

(1) Previous Jewish Education

(1) Grade Going Into 2023-24 School Year*

(1) We are also interested in one on one Hebrew lessons for our child (outside of the Kid's Club Scheduled Sessions).

(1) Allergy Information: Please let us know if there are any allergies or other important information we need to be aware of.

(1) Does your child have any learning difficulties?*

YesNo

(1) Please describe the learning difficulties:

(2) Full Name*

First Name Last Name

(2) Hebrew Name*

First Name Last Name

(2) Birth Date*

Month Day Year

(2) School*

(2) Previous Jewish Education

(2) Grade Going Into 2023-24 School Year*

(2) We are also interested in one on one Hebrew lessons for our child (outside of the Kid's Club Scheduled Sessions).

(2) Allergy Information: Please let us know if there are any allergies or other important information we need to be aware of.

(2) Does your child have any learning difficulties?*

YesNo

(2) Please describe the learning difficulties:

(3) Full Name*

First Name Last Name

(3) Hebrew Name*

First Name Last Name

(3) Birth Date*

Month Day Year

(3) School*

(3) Previous Jewish Education

(3) Grade Going Into 2023-24 School Year*

(3) We are also interested in one on one Hebrew lessons for our child (outside of the Kid's Club Scheduled Sessions).

(3) Allergy Information: Please let us know if there are any allergies or other important information we need to be aware of.

(3) Does your child have any learning difficulties?*

YesNo

(3) Please describe the learning difficulties:

Home Address*

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

Mother's Name*

First Name Last Name

Mother's Hebrew Name

Mother Jewish by:*

BirthChoice

Mother's Cell*

Area Code Phone Number

Mother's Email

Father's Name*

First Name Last Name

Father's Cell*

Area Code Phone Number

Father's E-mail

In the Old City of Jerusalem, there’s a special Torah scroll being written exclusively for Jewish children.

Over two million children have already bought their own letter in these Torah scrolls. You, too, can buy a letter in a Torah scroll and unite with Jewish children from all over the world.

Buying your own letter will bring blessings for you and the entire Jewish people.

The cost of each letter is $1.

1 Letter $1 Total

Yes, I will purchase a letter in the children's Torah.

2 Letters $2 Total

Yes, I will purchase 1 letter in the children's Torah for each of my 2 children that I am enrolling.

3 Letters $3 Total

Yes, I will purchase 1 letter in the children's Torah for each of my 3 children that I am enrolling.

Do you have a discount code?*

YesNo

Discount Code:

Tuition Payment:* If you need to set-up monthly payments, please contact the Rabbi at 201 937 6562.

Pay the full price of $1,000.00 today.Pay $50 today and the remaining balance of $950.00 will be charged on Oct. 18, 2023.

Tuition Payment for 2:* If you need to set-up monthly payments, please contact the Rabbi at 201 937 6562.

Pay the full price of $2,000.00 today.Pay $100 today and the remaining balance of $1,900.00 will be charged on Oct. 18, 2023.

Tuition Payment for 3:* If you need to set-up monthly payments, please contact the Rabbi at 201 937 6562.

Pay the full price of $3,000.00 today.Pay $150.00 today and the remaining balance of $2,850.00 will be charged on Oct. 18, 2023.

Discounted Tuition: (Coupon Code Applied)* If you need to set-up monthly payments, please contact the Rabbi at 201 937 6562.

Pay the Total of $807.50 Today.Pay $50 today and the remaining balance will be billed.

Discounted Tuition for 2: (Coupon Code Applied)* If you need to set-up monthly payments, please contact the Rabbi at 201 937 6562.

Pay the Total of $1615.00 Today.Pay $100.00 today and the remaining balance will be billed.

Discounted Tuition for 3: (Coupon Code Applied)* If you need to set-up monthly payments, please contact the Rabbi at 201 937 6562.

Pay the Total of $2422.50 Today.Pay $150.00 today and the remaining balance will be billed.

Yes! I would like to help other kids participate in the Jewish Kids Club.

Scholarship Fund Donation

Other Amount

$

Today's Total:

$0.00

Payment

Credit Card Paypal Pay by Check, Zelle or Venmo

Postal / Zip Code

Country

I would like to receive news and updates by email

Registration

2023-2024 Session

Student Information #1

Student Information #2

Student Information #3

Parents Information

Children's Unity Sefer Torah

Payment

Scholarship Fund

Billing Information