Jewish Kids Club Registration:
Child's Name
Age:
School:
Parents' Names:
Phone Number:
Emergency Number:
Sessions Attending: Chanukah Fun (Dec. 14)
Kosher Hunt (Jan. 19)
Shabbat (Feb. 12)
Purim (March 8)
Surprise trip (April 26)
Lag B'omer (May 12)
Method of Payment: Check
Credit Card
Credit Card #:
EXP:
Sec. Code: