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Jewish Discovery Club

Jewish Discovery Club will be following the guidelines of the CDC
Parent Information
Parent Name

First Name Last Name
Cell Phone Number

Area Code Phone Number
E-mail
Child 1 Information
Full Name

First Name Last Name
School
Grade Entering in the Fall
Comments - Please list any Allergies
Week 1:

Wednesday: July 16
Week 2:

Monday: July 20 Wednesday: July 22 Monday & Wednesday
Week 3:

Monday: July 27 Wednesday: July 29 Monday & Wednesday
Week 4:

Monday: August 3 Wednesday: August 5 Monday & Wednesday
Week 5:

Monday: August 10 Wednesday: August 12 Monday & Wednesday
Child 2
If you only have 1 child attending you can skip this section
Child Name

First Name Last Name
School
Grade Entering in the Fall
Comments: Please list any allergies
Week 1:

Wednesday: July 16
Week 2:

Monday: July 20 Wednesday: July 22 Monday & Wednesday
Week 3:

Monday: July 27 Wednesday: July 29 Monday & Wednesday
Week 4:

Monday: August 3 Wednesday: August 5 Monday & Wednesday
Week 5:

Monday: August 10 Wednesday: August 12 Monday & Wednesday
Payment

Payment

Credit Card Pay at Door

Postal / Zip Code

Country

Total

$0.00
Should be Empty:

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