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Outreach Center Youth Programs Hebrew Club

Hebrew Club Registration

Please fill out this form to join the CFJL Hebrew Club.

This club is for children ages 5 - 11 (Grades K5 - 5)

The club meets on Thursdays, 5:00 - 6:00 PM at CFJL.

The cost for the year is $425 per child. (The club will meet 25 times during the year)
Payment can be made here.
Student Information
Full Name
First Name Last Name
Date of Birth

Month Day Year
Age
Grade entering:
Gender:

MaleFemale

Address

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

Does your child speak conversational Hebrew

NoneSomewhatWell
Parent Information
Father's Name
Cell Phone

Area Code Phone Number
E-mail
Mother's Name
Cell Phone

Area Code Phone Number
E-mail
I heard about the Hebrew Club from:
Should be Empty:

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