Jewish Kids Club Registration

Child Profile
Name*
First Last
Hebrew Name*
School*
Grade*
Date of Birth*
MM slash DD slash YYYY
Age*
To determine your child's Jewish birthday, what time of day (approx.) was your child born?*

Hours :

Minutes
I am enrolling my child for:*
- Mondays
- Wednesday
I am enrolling my child for:*
- Select All
- Fall
- Winter
- Spring
Family Information
Mother's Name*
First Last
Mother's Email*
Phone*
Father's Name*
First Last
Father's Email*
Phone*
Address*
Street Address City State ZIP Code
Would you be interested in school pick-up?*
- YES
- NO
Persons authorized to pick-up my child
Emergency Information
Emergency Contact 1*
First Last
Phone*
Emergency Contact 2*
First Last
Phone*
Physician*
First Last
Phone*
CONFIDENTIAL:*
Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Dates & Rates
Tuition 2021-22
Financial Aid/Tuition Assistance – Contact Leah@JewishPreschool.org
2 days/week: $24/day
1 day/week: $25/day
Current CCJP Student (enrolled in Late Care) = $10/day (5:00 PM – 6:00 PM)
10% discount for former CCJP students and current students ages 5+ not enrolled in late care
$100 discount for families who enroll for all 3 semesters and submit payment in full by Sept. 6th.
Winter Semester (Jan-March)
Mondays: $275
Wednesdays: $325
Mondays & Wednesdays: $576
Spring Semester (April-June)
Mondays: $175
Wednesdays: $200
Mondays & Wednesdays: $360

Child Profile