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Jewish Kids Club Registration

  • We are currently accepting application forms for the 2019/2020 school year.

    Please fill out this form to the best of your ability. If you have any questions or concerns you'd like to discuss with us, please contact us.

    Please note that one registration form per child is needed.

    We look forward to a wonderful year of learning and growth .

    For returning students, filling out the entire form is unnecessary. Please make sure to resign and date the medical release form and provide any information that may have changed from last year.

  • Child's Profile

  • Parents' Information

  • Emergency Contact Information

    In case of an emergency, when parents cannot be reached, please contact:
  • Medical Release Form

    I hereby give consent to the administration of Chabad of Sierra Vista to take whatever medical measures they deem necessary, at my expense, for my child in the event of a medical emergency.
  • Payment Information

    Synagogue membership is NOT required. Payment plan available. No child will be turned away due to lack of funds.
  • $0.00

    Credit Card
    Billing Address
  • Should be Empty:
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