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Register for JUDA!

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Address

Does your child take any medications?*
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If answered yes, please explain medications being taken, and dosage. All information on this form will be kept 100% CONFIDENTIAL.
Does your child have any allergies?
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If answered yes to previous question please explain:
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.
Registration Fee
$450
Total
$0.00

Payment

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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.
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Please note: Acceptance to JUDA is only confirmed once you receive an email confirming your child is accepted.
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JUDA! REGISTRATION