Ckids Register Form

CKIDS Weekly Shabbat Club !

Address

Phone Number

Area Code Parent Cell
Father Name
Father E-mail
Mother's E-mail
Mother's Hebrew Name

First Name Last Name
Click to edit
Is the Natural Motherof the Child Jewish?
Yes No
Is the Mother's Mother Jewish?
Yes No
Season Fee: $100 Per Child*

Entire Season Free Trial 1 Session
No child will be turned away due the lack of funds! If you in a need of Scholarship from our Chesed Fund Please email info@jewishsouthbay.com
$100 $0

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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