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Please complete this JUDA registrtion form.
For your registration to save you must complete this form
&
the payment form.
The payment form has the option for payment plans and payment by check.
Child 1 First Name
Child 1 Last Name
Child 1 Hebrew Name
Child 1 Birth date
Child 1 School
Child 1 Grade Entering
Does The Child Live With Both Parents?
Any Medical Or Learning Conditions We Should Be Aware Of?
Child 1 Previous Jewish Education / Hebrew Reading Abilities
Child 2 First Name
Child 2 Last Name
Child 2 Hebrew Name
Child 2 Birth Date
Child 2 School
Child 2 Grade Entering
Child 2 Does The Child Live With Both Parents?
Child 2 Any Medical Or Learning Conditions We Should Be Aware of?
Child 2 Previous Jewish Education / Hebrew Reading Abilities
Parent 1 First Name
Parent 1 Last Name
Parent 1 Was
Adopted
Born Jewish
Converted
Is Not Jewish
Parent 1 Cell Phone Number
Parent 2 First Name
Parent 2 Last Name
Parent 2 Was
Adopted
Born Jewish
Converted
Is Not Jewish
Parent 2 Cell Phone Number
No child will be turned down based on tuition costs. Please email us at rabbi@Chabadbr.com so that we can ensure your child can attend JUDA.
Previous Years Balance Information
Yes, I have paid in full for the past year
I'm unsure if I have a remaining balance
We're a new JUDA family
Consent
I hereby permit my child to be photographed and vidoed, and I allow Chaabd to use those photographs at their discretion.
In case of any emergency I hereby authorize the staff of Chabad / Camp Gan Israel to take appropriate action, and absolve them, and any parent organization(s) of any liability.,
I allow the staff of Chabad / Camp Gan Israel to transport my child(ren)
JUDA tuition cost for the year are $425 + $25 Supplies Fee.
This is per child.
Early bird discount of $25 for registrations completed before July 15th.
Continue to payments page
Chabad serving LSU & Greater Baton Rouge
Chabadbatonrouge@gmail.com
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347-515-0835
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In everlasting memory of the founder of Chabad in Cyberspace, Rabbi Yosef Y. Kazen (father of Rabbi Peretz Kazen).
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