Jewish Falmouth

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JUDA Kids Club

Where Judaism Comes Alive! Inspiring Jewish Pride and Identity in Jewish Children - the future of Judaism.

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Register

We are so excited to welcome your family to JUDA!

Please reach out if you have any questions while filling out this form.
Student Information
Full Name*
First Name Last Name
Hebrew Name if they have one
Birth Date*

Month Day Year
School*
Grade entering*
Previous Jewish Education if they had one

Address*

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

Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Check box to add addtional child

Add Child
Full Name*
First Name Last Name
Hebrew Name if they have one
Birth Date*

Month Day Year
School*
Grade entering*
Previous Jewish Education if they had one
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Check box to add addtional child

Add Child
Full Name*
First Name Last Name
Hebrew Name if they have one
Birth Date*

Month Day Year
School*
Grade entering*
Previous Jewish Education if they had one
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father of the child:*

Was born JewishConverted to JudaismIs not Jewish
Father's Name*
First Name Last Name
Father's Cell*

Area Code Phone Number
Mother of the child:*

Was born JewishConverted to JudaismIs not Jewish
Mother's Name*
First Name Last Name
Mother's Hebrew Name
Mother's Cell*

Area Code Phone Number
Maternal Grandmother of the child:*

Was born JewishConverted to JudaismIs not Jewish
Best way to send Hebrew School updates:*

Cell PhoneEmailHandout
I am willing to assist in school activities, please contact me
Tuition Fee
COST: $320/session or $600/year (if registering for both sessions today).

SIBLING: a 5% discount will be applied.
Child 1 - Please Choose

Session 1: $320Session 2: $320Full Year: $600
Add Child?

Yes
Child 2 - Please Choose 5% discount applied

Session 1: $304Session 2: $304Full Year: $570
Add Child?

Yes
Child 3 - Please Choose 5% discount applied

Session 1: $304Session 2: $304Full Year: $570
Payment
Pay full amount today

Yes
Pay in installments We will contact you to set up the payment plan

Quarterly (4 payments throughout the year)10 monthly payments

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Total

$0.00
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Educate Your Child... Educate a Generation

Student Information

Parents Information

Tuition Fee

Payment