Kids Club

Please scroll down to register
Message for paid members of 5785 (2024-2025): If you are a paid member, please click HERE to make your children's program reservations. Thank you
Please note: Registration for the Shabbos program must be completed by the Thursday prior to the Shabbos you wish to attend. Registrations submitted after this deadline will not be accepted for that week.

If registering only for Shavuot, please select the individual program option.
General Information
Parent's Full Name*
Last Name First Name
E-mail*
I would like to receive news and updates by email
Phone Number*

Area Code Phone Number

Address*

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

Child & Program Information
How many children are you registering for?*
Child #1 Name*
Last First
Child #1 Grade*
Child #1 Birth Date*

Month Day Year
Child #1 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($275 per child)
Child #1 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($300 per child)
Does child #1 have any allergies?*
Child #2 Name*
Last First
Child #2 Grade*
Child #2 Birth Date*

Month Day Year
Child #2 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($275 per child)
Child #2 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($300 per child)
Does child #2 have any allergies?*
Child #3 Name*
Last First
Child #3 Grade*
Child #3 Birth Date*

Month Day Year
Child #3 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($275 per child)
Child #3 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($300 per child)
Does child #3 have any allergies?*
Child #4 Name*
Last First
Child #4 Grade*
Child #4 Birth Date*

Month Day Year
Child #4 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($275 per child)
Child #4 Programs Selected*

Individual Program ($18 per child)High Holidays + Shavuot ($50 per child)Full year Shabbos ($300 per child)
Does child #4 have any allergies?*
Please select Program date*

Month Day Year
Payment Information
Total

$0.00

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

Should be Empty:

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