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Ckids Information Details
Child's First Name
*
Child's Last Name
*
Child Jewish name
Example: David or דוד
Child's Date of Birth
*
Birth Date Before Sunset (to calculate jewish birthday)
*
Yes
No
Unknown
Grade entering fall 2023
*
Please list any allergies or necessary medical info
*
Use this space to share anything you would like us to know about your child and what you would like your child to gain at JDC this year!
*
Parent 1 name
*
Parent 1 jewish name
Parent 1 Phone number
*
Parent 1 Email
*
Parent 2 name
Parent 2 jewish name
Parent 2 phone number
Parent 2 email
Emergency contact name & phone number
*
Mailing address
*
Are there any adoptions or conversions in the family?
*
Yes
No
If yes, explain
I allow my child to be photographed while participating in chabad activities and that these pictures may be used for marketing purposes.
Yes
No
Fees
CKids JDC Fee
Yearly Fee
-
$ 600.00
Preschool Fee
-
$ 550.00
Other
-
$ 0.00
No child will be turned away due to lack of funds. Please contact mussie@chabadsh.com to discuss scholarships available and/or payment plans.
Total
Payment Options
Payment Method
Check
Credit Card
I will send payment by check
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Chabad of the South Hills - Jewish Center for Living & Learning
rabbi@chabadsh.com
|
412-344-2424
|
1701 McFarland Road Pittsburgh, PA 15216-1812
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