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CKids Savannah

ב"ה

Application Form

We are excited to have you on board!

CKids clubs is open to children ages 4-12.

Sessions take place on Sundays 12:30pm-2:00pm.

Click here to view schedule.

Please reach out if you have any questions. Contact us or call 912-844-2477.
Student Information
Number of Children*
Full Name*

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Month Day Year
Current Grade
School*
Previous Jewish Education If applicable
Full Name- Child #2

First Name Last Name
Hebrew Name- Child #2

First Name Last Name
Birth Date- Child #2

Month Day Year
Current Grade- Child #2
School- Child #2
Previous Jewish Education- Child #2 If applicable
Full Name- Child #3

First Name Last Name
Hebrew Name- Child #3

First Name Last Name
Birth Date- Child #3

Month Day Year
Current Grade- Child #3
School- Child #3
Previous Jewish Education- Child #3 If applicable

Address*

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

Additional notable Information Please let us know if your child has any allergies or learning disabilities we need to be aware of.
Parents Information
Father's Name*

First Name Last Name
Father's Cell*

Area Code Phone Number
Mother's Name*

First Name Last Name
Mother's Hebrew Name
Mother Jewish by:

BirthChoice
Mother's Cell*

Area Code Phone Number
Parent E-mail for updates*
Parent E-mail for updates
I am willing to assist with activities, please contact me
Payment
Total

$150.00
Promo Code
Promo Activated

Payment

Credit Card Other

Postal / Zip Code

Country

I would like to receive news and updates by email
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