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CKids Club

Inspiring children to see the world through the Jewish lens of compassion and integrity.

CKids Registration

CKids Registration
Returning student click here and welcome back!
Child's Name*
First NameLast Name
E-mail
Hebrew Name*
Birth Date*
MonthDayYear
School*
Previous Jewish Education*
Grade entering*

Address*

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

Additional notable Information
Parents Information
Father's Name*
First NameLast Name
Fathers's Hebrew Name
Father's Occupation
Father Cell*
Area CodePhone Number
Father's E-mail*
Mother's Name*
First NameLast Name
Monther's Hebrew Name
Mother's Occupation
Mother Cell*
Area CodePhone Number
Mother's E-mail*
Payment

DISCLAMER

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad of Shoreline Ckids Program to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad of Shoreline Ckids Program personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and of Shoreline Ckids Program activities and that these pictures may be used for marketing purposes.

*
I Agree
Full Name*
First NameLast Name
Session Selection*
All Three Sessions (21 Sundays)Fall Session (7 Sundays)Winter Session (7 Sundays)Spring Session (7 Sundays)
Additions
Modern Speaking Hebrew All SessionsModern Speaking Hebrew FallModern Speaking Hebrew WinterModern Speaking Hebrew Spring
Total
$0.00

Payment*

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Postal / Zip Code

Country

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Parents Information

Payment