Kesher Registration 2023-2024

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Thank you for registering for Kesher!

Please review the Kesher schedule.

Please contact Lang Schmitt with any questions at 257-2944 or office@shamayim.org.

FAMILY INFORMATION

* New / Returning Family

* Parent/Guardian 1 First Name

* Parent/Guardian 1 Last Name

Home Phone

* Cell Phone

* Email

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Home Phone (if different)

Cell Phone

CHILD INFORMATION

* Child 1 First Name

* Child 1 Last Name

* Date of Birth

MM/DD/YYYY

Allergies or medical conditions

If no other children skip to the next section

Child 2 First Name

Child 2 Last Name

Date of Birth

MM/DD/YYYY

Allergies or medical conditions

PAYMENT INFORMATION

Member Rate: $36
Non-Member Rate: $72

For scholarship information please contact Rabbi Laurie and select 'pay by check' when registering.

MemberNon-Member

Total

Upon hitting "Submit" you will be taken to a payment page where you can enter your credit/banking information to make a payment or select payment by check.

Wed, May 8 2024 30 Nisan 5784