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JEP Registration Form

  • Jewish Enrichment Program

    Registration Form 2015-2016

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  • Fee: $450 per child

    We work with each family to accommodate their financial needs. Please speak to Rebbetzin Tzivie about scholarship options.

    Credit Card
    Billing Address
  • Student/Family Information

    In case of illness or injury of a child at school, every effort will be made to contact the parent or guardian.

    In an emergency, call:

  • Personal History

  • All information in this form will be kept confidential.

    By submitting this form, I affirm that the information provided above is true and correct. 

  • Should be Empty:
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