JKC on Sundays & Tuesdays You can register your child/ren for Sunday, Tuesday or BOTH! Boys and Girls Grades Pre-K - 5 & Boys Grade 6 Sunday from 10:30-12:30PM or Tuesday from 4-6PM Bat Mitzvah Club: Tuesdays from 4-6PM Bar-Mitzvah Club: Sunday from 10:30-12:30 or Tuesday from 4-6PM During the school calendar year the kids of greater Hewlett join a wonderful program that enriches their Judaic and Hebrew learning, and so much more! Under the direction of Rivkie Tenenboim and Valentina Simakhova, the Jewish Kids Club of Hewlett has become the the most popular Jewish program in greater Hewlett! Register now by filling out the form below. Questions? Call Rivkie at 917-575-3917. Returning or New Registrant Is this a returning registration?* YesNo Is this a referral?* YesNo Who referred you? Contact Information Mother's name* First Name Last Name Mother's Hebrew name Is the Natural mother of the child Jewish?* YesNo Is the mother's mother Jewish?* YesNo Mother's phone number Mother's e-mail* Father's name* First Name Last Name Father's Hebrew name Is the Natural father of the child Jewish?* YesNo Father's phone number Father's e-mail Are the parents married to each other?* YesNo Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Best Contact Phone Number* Child Information: How many children?* How many returning children?* base fees security Child's Name* base fees Child one fee Hebrew Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade Attending* Sunday,Tuesday or Both?* please select one SundayTuesdaySunday & Tuesday ($500 additional) Does your child have an IEP?* By sharing this information, you help us help your child. YesNo Please specify any medical or behavioral concerns, date of last tetanus shot and any allergies Second Child's Name* Second Returning Child's Name* base fees Child two fee -base fees Child two fee Hebrew Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade Attending* -Grade Attending* Sunday,Tuesday or Both?* please select one SundayTuesdaySunday & Tuesday ($500 additional) -Sunday,Tuesday or Both?* please select one SundayTuesdaySunday & Tuesday ($500 additional) Does your child have an IEP?* By sharing this information, you help us help your child. YesNo Please specify any medical or behavioral concerns, date of last tetanus shot and any allergies Third Child's Name* Third Returning Child's Name* Hebrew Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade Attending* -Grade Attending* Sunday,Tuesday or Both?* please select one SundayTuesdaySunday & Tuesday ($500 additional) -Sunday,Tuesday or Both?* please select one SundayTuesdaySunday & Tuesday ($500 additional) Does your child have an IEP?* By sharing this information, you help us help your child. YesNo Please specify any medical or behavioral concerns, date of last tetanus shot and any allergies Fourth Child's Name* Fourth Returning Child's Name* Hebrew Name Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Grade Attending* -Grade Attending* Sunday,Tuesday or Both?* please select one SundayTuesdaySunday & Tuesday ($500 additional) -Sunday,Tuesday or Both?* please select one SundayTuesdaySunday & Tuesday ($500 additional) Does your child have an IEP?* By sharing this information, you help us help your child. YesNo Please specify any medical or behavioral concerns, date of last tetanus shot and any allergies Have there been any conversions or adoptions in the family history?* YesNo Preferred Bar/Bat Mitzvah Date Click here to fill out the Bar/Bat Mitzvah club application form. Pricing Program Pricing: $650 for the first child + $200 household security fee. $625 for the second child. $600 for each additional child. $500 additional for Sunday & Tuesday. No one will be turned away due to lack of funds - please email [email protected] for a scholarship. I would like to make an ADDITIONAL donation $ Yes, I would like to learn about payment plans Contact me Total $300.00 Yes, I'd like to donate the cost of processing this transaction by adding 3% Payment Method: Credit Card Paypal ACH, Check, Cash or Zelle Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2024202520262027202820292030203120322033 Expiration YearPaypal has been selected. Payment will take place on the next page.For ACH payments please include your bank's routing number and your account number in the notes section.Zelle payments to: [email protected] YES, I would like to volunteer for Jewish Kids Club! See our Calendars... Click for Jewish Kids Club Sunday Calendar Click for Jewish Kids Club Tuesday Calendar I would like to receive news and updates by email If you referred a friend &/or registered before July 1, 2024 your 10% discount will be refunded upon full payment of tuition. Submit All updates regarding this program will be sent out on WhatsApp by Rivkie Tenenboim at 917-575-3917. Jewish Kids Club - After School program at Chabad House of Hewlett is an affiliate of Chabad of the Five Towns. Should be Empty: This page uses TLS encryption to keep your data secure.
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