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Kids! JUDA! Judaism Through the Arts

Register for JUDA!

For new students, in addition to filling out the form below, please call/email Rivky at 360-867-8804 or [email protected] to set up a quick interview. We want to meet you and your child so we can best cater our program to suit their needs!
Child's Name*

First Name Last Name
Child's Hebrew Name (If Applicable)
Birth Date*

Month Day Year

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Father's Name*

First Name Last Name
Father's E-mail*
Father Cell

Area Code Phone Number
Mother's Name*

First Name Last Name
Mother's E-mail
Mother Cell

Area Code Phone Number
Emergency Contact
Emergency contact should be someone other than parent.
Full Name

First Name Last Name
Relationship
E-mail
Cell Phone Number

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Notes
Payment
Cost for participation in JUDA is $450 for the 2020-21 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 [email protected] and click other. Payment will not be charged until acceptance is confirmed.
Registration Fee

$450
Total

$0.00

Payment

Credit Card Other

Postal / Zip Code

Country

I give my consent for my child to join the JUDA progam and to participate in all activities, be photographed for purposes of Newsletter/PR and for emergency medical treatment to be administered in the case of an injury.
Parent's Initials
Month Day Year
Please note: Acceptance to JUDA is only confirmed once you receive an email confirming your child is accepted.
I would like to receive news and updates by email
Should be Empty:

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