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Register for JUDA!

  • JUDA! REGISTRATION

  • Child #2 (If Applicable)

  • Parents Information

  • Emergency Contact

  • Emergency contact should be someone other than parent.

  • Payment

  • Cost for participation in JUDA is $450 for the 2018-19 school year. Please use options below to submit payment today. If you need to pay using a different method, would like a scholarship or have other questions on this topic email rabbi@jewisholympia.com and click other. Payment will not be charged until acceptance is confirmed.

  • $0.00
  •   
    Credit Card
    Billing Address
  • I will notify the facility immediately of any changes to the information provided on this form.

    I allow for photos of my children while participating in JUDA to be shared on social media, and in all other promotional materials, for newsletter and PR purposes. 

     I give permission for my child to participate in all activities of JUDA - on site, off site and on trips.

    I give my consent for emergency medical treatment to be administered to my child in case of an injury. 

    I AFFIRM THAT ALL THE INFORMATION PROVIDED IN THIS FORM IS TRUE.

  • Pick a Date
  • Please note: Acceptance to JUDA is only confirmed once you receive an email confirming your child is accepted.

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