Jewish Enrichment Kids Club Registration

JEWISH ENRICHMENT KIDS CLUB REGISTRATION 25'-26'
Jewish Enrichment Club meets on Tuesdays from 3:45 pm - 5:30 pm (dinner included) for the duration of the year

Program begins on Tuesday, September 9

Plus: One-on-one Hebrew Reading Instruction via Zoom for grades 1 and up.
PARENT 1 INFORMATION *

First NameLast Name
Mobile Phone Number*

Area CodePhone Number
Email*
example@example.com
PARENT 2 INFORMATION

First NameLast Name
Mobile Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
CHILD INFORMATION*

First NameLast Name
Date of Birth*

MonthDayYear
Date
CHILD #2 INFORMATION

First NameLast Name
Date of Birth

MonthDayYear
Date
Which school do they attend?
Any medical information/allergies we should know?
Please let us know of any Jewish conversions in the family
I am aware that by participating in this program, I consent to having my child's name and picture used for promotional purposes.
Registration Fee

Family Registration fee is $36.00

Tuition $400 for first child. $360 for additional children. This fee includes hot dinner.

Tuition can be paid at a later time.

NO ONE WILL BE TURNED AWAY DUE TO LACK OF FUNDS!

Registration Payment

Registration Fee$36.00

I Am Unable to Pay ..$ Free

Total $0.00

Credit Card

Apple Pay

Google Pay

Alternative Payment Options

I would like to pay by cash or check
Check can be sent to: Jewish Discovery Center
831 Maple Rd. Williamsville, NY 14221
Should be Empty:

JEWISH ENRICHMENT KIDS CLUB REGISTRATION 25'-26'