Registration

WEDNESDAY CLASSES BEGIN: September 6
SUNDAY CLASSES BEGIN: September 10

SUNDAY School:
· 1 week flash sale: $999 | From Jul 12: $1200

Wednesday School:
· 1 week flash sale: $600 | From Jul 12: $750

Sunday & Wednesday School:
· 1 week flash sale: $1450 | From Jul 12: $1600

Bat Mitzvah Club (7th & 8th Grade) Tuesdays:
· 1 week flash sale: $999 | From Jul 12: $1200

Bar Mitzvah Club (7th Grade) Thursdays:
· 1 week flash sale: $999 | From Jul 12: $1200
Child 1
Child's Full Name*

First Name Last Name
Hebew Name*
Birth Date*

Month Day Year
Age*
School Entering*
Grade Entering*
Which Program*

SUNDAY School: Flash sale: $999Wednesday School: Flash sale: $600Sunday & Wednesday School: Flash sale: $1450Bat Mitzvah Club (7th & 8th Grade) Tuesdays: Flash sale: $999Bar Mitzvah Club (7th Grade) Thursdays: Flash sale: $999
Child 2
Full Name

First Name Last Name
Hebew Name
Birth Date

Month Day Year
Age
Grade Entering
School Entering
Which Program

SUNDAY School: Flash sale: $999Wednesday School: Flash sale: $600Sunday & Wednesday School: Flash sale: $1450Bat Mitzvah Club (7th & 8th Grade) Tuesdays: Flash sale: $999Bar Mitzvah Club (7th Grade) Thursdays: Flash sale: $999
Child 3
Full Name

First Name Last Name
Hebew Name
Birth Date

Month Day Year
Age
School Entering
Grade Entering
Which Program

SUNDAY School: Flash sale: $999Wednesday School: Flash sale: $600Sunday & Wednesday School: Flash sale: $1450Bat Mitzvah Club (7th & 8th Grade) Tuesdays: Flash sale: $999Bar Mitzvah Club (7th Grade) Thursdays: Flash sale: $999
Parents Information

Address*

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

Mother's Information

Mother's Full Name
Mother's Email
Mother's Cell Number	Mother's Work Number
Mother's Hebrew Name	Country

Father's Information

Father's Full Name
Father's Email
Father's Cell Number	Father's Work Number
Father's Hebrew Name	Country

Emergency Contact

Contact 1*

Name
Address
Cell Number	Home Number
Relationship	Country

I hereby permit my child to participate in all activities, join in class and school trips on and beyond school properties. In case of an emergency, I herby authorize the school to have my child taken care of by a physician in any way that the situation may call for.
Signature of Parent/Guardian: (Please enter your email address) *
Date*

Month Day Year
Referred by?
Payment Options
PRICE:

Flash Sale

Sunday Entering PreK - Entering 7th Grade:
Flash Sale $999 (Until July 9th)
Early Bird Price $1050 (Until July 31th)
Regular Price: $1100

Monday & Wednesday: Entering KG - Entering 6th Grade:
Flash Sale $1150 (Until July 9th)
Early Bird Price $1225 (Until July 31th)
Regular Price: $1300

Entering 6th & 7th Grade (Bar & Bat Mitzvah On the Go):
Flash Sale $1150 (Until July 9th)
Early Bird Price $1225 (Until July 31th)
Regular Price: $1300
Amount to charge

$0.00
Terms and Conditions*

I, the undersigned agree, understand and authorize the amount shown above to be charged to my credit card for the items shown on the referenced order. I understand these charges will appear on my credit card statement under my name and I accept full financial responsibility for payment of this order.I agree payments are non-refundable and services / merchandise have been rendered / delivered to my satisfaction.
By entering your email you are accepting the terms above*