Register

JUDA currently caters for boys and girls in Years 2-6 and Bar and Bat Mitzvah Lessons, with small groups and individual attention, and runs on Sunday mornings from 10am - 11:30am, at Chabad of Bricket Wood.

Fees for 2022-2023: £480 per child for the year. Payments can also be made in three equal termly instalments (£160 per term). Each term consists of approximately 10 sessions
Childs Information
Child's Full Name*

First Name Last Name
Child's Hebrew Name*
Date of Birth*

Day Month Year
School*
Previous Jewish Education One sentance explaining previous Jewish education
School Year* School Year starting September 2022
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Please let us know if there are any medical or other important conditions we need to be aware of.
Parents Information
Father's Name*

First Name Last Name
Father's E-mail
Father's mobile:*
Father's Hebrew Name
Mother's Name*

First Name Last Name
Mother's E-mail
Mother's mobile:*
Mother's Hebrew Name

Address*

Mother Jewish by:*

Birth Choice
Conversion under which authority:*
Best way to contact you with updates:

WhatsApp Text Email
Members of which Synagogue:* write none if not a member
Married through which Synagogue:*
Emergency Contact:
Full Name:

First Name Last Name
Mobile Number:*
Relationship:
*

I am willing to assist in cheder activities, please contact me I hereby give consent for photos/videos of my children to be used for publicity purposes I hereby give consent for basic First Aid to be administered to my child, if necessary
Declaration*

I declare that all the above information is true and correct; And that I undertake to pay the parental fees; I understand all applications are pending until written confirmation
I would like to receive news and updates from Chabad Lubavitch of Bricket Wood & Districts by email. I understand that information I provide to Chabad Lubavitch of Bricket Wood & Districts will be used according to its Privacy Policy and I can unsubscribe at any time.
Signature* (type full name of person applying)
Today's Date*

Day Month Year
Payment
£480 for the year
Total Price for the Year

£480.00 GBP

I would like to pay today: Full amount £160.00 GBP minimum £ GBP

Yes, I'd like to donate the cost of processing this transaction by adding 1.4%

Payment

Credit Card Paypal Other

Postal / Zip Code

Country

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