↑ Return to Enrollment

New to the Jewish Enrichment Center? Enroll Here.

Ready for an extraordinary year at the Jewish Enrichment Center? Please call or write with any questions: 773-234-9403 or jewish.enrichment.center@gmail.com.

Please fill out a separate form for each child. A $50/child deposit is due with this registration form.

:

Parent/Guardian Information

Address

Home Address *
Home Address
City
State/Province
Zip/Postal
Should mail also be sent to another address (e.g., a second parent)? If so, please note the address below.
Should mail also be sent to another address (e.g., a second parent)? If so, please note the address below.
City
State/Province
Zip/Postal
Country

Emergency Information

Some of our families have babysitters, older siblings, or friends who might pick up their child. Please list at least two authorized adults to pick up your child, whether it be routine or in case of an emergency.

Health Information

Jewish Community

Registration Information

Shalom Chaverim ("Welcome, Friends!") is every Sunday morning from 9AM - 11:45AM *
reCAPTCHA
Facebook Like Button for Dummies