Daily After School Enrichment Classes for Children of All Abilities

Mon. Tues. & Thurs. 4:00pm-5:00pm at Chabad

Daily After School Clubs for Children of All Abilities Ages 5-8
Hi!

Click HERE to learn about our clubs, dates and rates:

Learn about our awesome Class Instructors here

We honor and encourage funding from Self Direction and are eager to help you apply.
Every family, regardless of income level, is eligible. Contact us here for more info .

We'd love to hear what other classes your child is interested in and times that work best for you. Please let us know HERE and we will contact you soon after your form submission.

Please copy and share the above 'flyer' with your childrens' schools, friends and share on SM!
Child's Name*

First Name Last Name
Hebrew Name*
Name Child prefers to be called
M/F*

Male Female
Age*
Birth Date*

Month Day Year
Approximate time of birth (10am / 6pm etc. for Hebrew birthday calculation)
School*
Previous Jewish Education
Grade entering*

Address*

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

Please tell us what you'd like us to know about your child, as related to the activities of your choice.
Parents Information
Father's Name*

First Name Last Name
Father's Email
Father Cell

Area Code Phone Number
Mother's Name*

First Name Last Name
Mother's Email*
Mother Cell*

Area Code Phone Number
Medical Information
Doctor Name

First Name Last Name
Phone Number

Area Code Phone Number
Allergies or important medical information
Emergency Contacts
Emergency Contact #1*

Name Relationship
Phone Number*

Area Code Phone Number
Emergency Contact #2

Name Relationship
Phone Number

Area Code Phone Number
Class Sessions
Classes
Choose the class / classes your child will attend

Mondays, Art: Multiple Forms of Guided, Personalized Art by The Art Studio NY Tuesdays, Fun, Fitness and Martial Arts: Discipline, Confidence & Motor Skills with an Olympic Champ Thursdays, Music: Expansive Drum Circle, Instruments, Song
Payment Options

Choose the classes for each session followed by the matching payment options below.
Club Tuition: Your tuition helps cover our classes and programs.
Pay as you can. No questions asked.

1. Full Tuition: $50/Class
2. Partial Tuition: $36/Class
3. Discounted Tuition: $25/Class
4. Choose a different amount that works for you.

Your child is welcome to attend a trial class for $18 and s/he can start in the middle of a session, and pay the pro-rated tuition.
Trial Class Payment

$18
Art Class Tuition

Art Class, Fall Session: Mondays, 10 Classes
Choose your Art Class Fall Tuition amount here, then select it below.
Art: Fall Tuition

$500 $360 $250
Fun Fitness / Martial Arts Class Tuition

Fun Fitness / Martial Arts, Fall Session:Tuesdays, 10 Classes
Choose your Fitness/MA Class Fall Tuition amount here then select it below.
Fun Fitness / MartialArts: Fall Tuition

$500 $360 $250
Music Class Tuition

Music Class, Fall Session: Thursdays, 14 Classes
Choose your Music Class Fall Tuition amount here, then select it below. Choose your Tuition amount here then select it below.
Music: Fall Tuition

$700 $504 $350
Scholarship: Sponsor classes for another child or children for whom payment is not easy

$
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

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Daily After School Clubs for Children of All Abilities Ages 5-8

Parents Information

Medical Information

Emergency Contacts

Class Sessions

Classes

Payment Options

Art Class Tuition

Fun Fitness / Martial Arts Class Tuition

Music Class Tuition