Registration - Chabad of Cheviot Hills

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Child's Name*
First NameLast Name
Birthdate*
MonthDayYear
Child #2
First NameLast Name
Birthdate #2
MonthDayYear
Living With:
Is the child adopted?*
Parents' Information
Father's Name*
First NameLast Name
Father Cell
Area CodePhone Number
Jewish*
Mother's Name*
First NameLast Name
Mother Cell
Area CodePhone Number
Jewish*
E-mail*
Allergies?
Additional notable Information
Tuition$499 PER CHILD. NO REGISTRATION FEES. NO TEMPLE MEMBERSHIP FEES.
$499$998$1497

Payment

Credit Card Other

Postal / Zip Code

Country

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Got Questions? 310-220-0514