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CKids Registration

IF YOU ARE SIGNING UP FOR REGULAR WEDNESDAY HEBREW SCHOOL ONLY, THAT IS A DIFFERENT FORM.

CLICK HERE FOR MORE INFO!
Parents Information
Primary Parent Name*
First Name Last Name
Primary Parent Email*
Primary Parent Phone Number*

Area Code Phone Number

Address*

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

Best way to send CKids updates:**

Cell PhoneEmail
Is the natural mother of the child/ren Jewish?*

YesNo
Where there any conversions or adoptions in the family?*

YesNo
If yes, is the conversion recognized and approved by the Chief Rabbinate of Israel? Please explain.*
Student Information
We would like to enroll for*

Fall Winter Session (Sept. 8th - Jan 14th)Winter Spring Session (Jan 21st - May 20st)
One month minimum commitment. Improved pricing for full session commitments!
How many days a week will your children attend CKids?*

1 Day A Week2 Days A Week3 Days A Week4 Days A Week
1 Day A Week Option - $30 Weekly, $120 a month, $340 per session
2 Days A Week Option - $60 Weekly, $240 a month, $680 per session
3 Days A Week Option - $90 Weekly, $360 a month, $1020 per session

(Can Include Hebrew "Traditional" Wednesday Hebrew School)
4 Days A Week Option - $120 Weekly, $480 a month, $1380 per session

(Includes "Traditional Wednesday" Hebrew School)
Number of Students to be enrolled* Full Session, 1 day weekly
Number of Students to be enrolled* Full Session, 2 days weekly
Number of Students to be enrolled* Full Session, 3 days weekly
Number of Students to be enrolled* Full Session, 4 days weekly
Student 1 Full Name*
First Name Last Name
Student 1 Hebrew Name*
Student 1 Birth Date*

Month Day Year
Student 1 Grade entering*
Student 1 School Attending*
Student 1 Previous Jewish Education*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Student 2 Full Name*
First Name Last Name
Student 2 Hebrew Name*
Student 2 Birth Date*

Month Day Year
Student 2 Grade entering*
Student 2 School Attending*
Student 2 Previous Jewish Education*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Student 3 Full Name*
First Name Last Name
Student 3 Hebrew Name*
Student 3 Birth Date*

Month Day Year
Student 3 Grade entering*
Student 3 School Attending*
Student 3 Previous Jewish Education*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Payment
Total

$0.00

Payment

Credit Card Paypal Other

Postal / Zip Code

Country

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Parents Information

Student Information

Payment