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JUDA registration form

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  • We will use your child's info from your previous registration. If anything changed please inform us at [email protected]

    Please fill out the rest of registration below: 

  • CHILD INFORMATION

  • CHILD 2 INFO:

  • CHILD 3 INFO:

  • PARENT INFORMATION

  • EMERGENCY CONTACT INFO

  • PROGRAM & TUITION AGREEMENT:

  • I hereby confirm my child’s enrollment in The Chabad of Islip JUDA Program.

    I represent that I am the custodial parent or legal guardian of the child that I am enrolling and that the information I have provided is true and correct. 

    I fully understand that this enrollment, as part of my commitment to a long-term Jewish education at JUDA, is accepted only on the basis of the full program, and agree to pay the full spring session fee accordingly. I understand that no refunds or adjustments will be made for absences including, but not limited to, illness or vacation.

    I agree to the following Fees:

    $1,000 for September 2022-June 2023 School year.

    5% discount for additional children in same family

    5% discount for referring a new family

    50% of payment due upon registration. Full payment due by December 30th 2022. 

    • Disclaimer

    • Accident: As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of JUDA 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, JUDA/Chabad of Islip personnel will try, but are not required, to communicate with me prior to such treatment.

      Privacy: I hereby give permission for my child’s photographs/videos to be used in newsletters, local newspapers, The Chabad of Islip and JUDA website or for promotion of our program.

  • PAYMENT

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  • $1000.00
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