New student application

CKids Application Form
Please fill out ALL fields of this form.
Child's Name*

First NameLast Name
Hebrew Name
Birth Date*

MonthDayYear
Date
Gender*

BoyGirl
Grade Entering
Does your child have any allergies?*

YesNo
Allergies
Jewish Education?*

YesNo
Add child?
Child's Name*

First NameLast Name
Hebrew Name
Birth Date*

MonthDayYear
Date
Gender*

BoyGirl
Grade Entering
Does your child have any allergies?

YesNo
Allergies
Jewish Education?*

YesNo
Add child?
Child's Name*

First NameLast Name
Hebrew Name
Birth Date*

MonthDayYear
Date
Gender*

BoyGirl
Grade Entering
Does your child have any allergies?

YesNo
Allergies
Jewish Education?*

YesNo
Family Background
Was father born Jewish?*

YesNo
Was mother born Jewish?*

YesNo
Did the child, their biological mother, or biological maternal grandmother undergo any conversion process or adoption?*

YesNo
Father's Name*

First NameLast Name
Father's email
example@example.com
Father's cellphone
Please enter a valid phone number.
Mother's Name*

First NameLast Name
Mother's Email
example@example.com
Mother's Cellphone
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Picture Permission
I give permission for my child’s picture to be used for display and public relations purposes.*

YesNo
Annual tuition

K-8 Grade
Sundays 9:30am-12:00pm
$750 Per child

10% discount for additional children
Payment Options*

Pay in full, charge my card.Pay in full, send me the payment link.Pay monthly, charge my card 10 Equal payments.Pay monthly, send me the payment link.
Scholarships are available upon request.
Apply for scholarship

yesno
Statement of need*
Please note that scholarships are subject to availability. We will contact you to let you know if your scholarship request was approved.
Should be Empty:

CKids Application Form

Please fill out ALL fields of this form.

Scholarships are available upon request.