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JUDA Discovery Enrollment Form
Please verify reCaptcha before submitting the form.
Child's Information
Enrollment 2022-2023
*
Child's Name
Child's Hebrew Name
*
Child's Birth Date
*
School
*
Grade Entering
*
Previous Jewish Education
*
Address
*
City
*
Zip Code
*
Does your child have any physical/mental conditions we should be aware of?
Parent's Information
*
Father's First Name
*
Last Name
*
Phone Number
*
Email
*
Mother's First Name
*
Last Name
*
Phone Number
*
Email
Payment Information
JUDA 2022-2023
Tuition - $1270.00
Registration - $75.00
Book Fee - $50.00
General Enrollment
General Enrollment
CBI Member Enrollment
CBI Member Enrollment
CBI members receive 10% off JUDA Tuition
Thu, April 25 2024
17 Nisan 5784
Thu, April 25 2024 17 Nisan 5784