2017-2018 Chugim @ The Open Studio
Welcome to chugim at The Open Studio. Register here for BOTH our Art and our English chugim.

Please fill out one form per child.

Where Art is for everyone!
Child's Last Name שם משפחה של הילד
Your answer
Child's First Name שם פרטי של הילד
Your answer
Parent Name (first & last) שם ההורה
Your answer
Phone number מספר טלפון
Your answer
Emergency Contact (Name and Number) מי להתקשר במצב חירום
Your answer
Email מייל
Your answer
Child's Age and Grade גיל וכיתה
Your answer
Which Chug(im) are you registering for? (check as many as apply) לבחור איזה חוגים
Would you like school pick-up, 25 nis per month רוצים איסוף מבית הספר? תוספת 25 שח לחודש
Payment Method - We will email you an invoice, but please tell us how you prefer to pay. איך אתם רוצים לשלם?
Allergies: אלרגיות Please list any and all food or other allergies & treatment (Epi-Pen, etc)
Your answer
Health, behavior, medications, etc. בריאות, התנהגות וכולי
Your answer
I give my permission for my child to join in Open Studio activities and release the Open Studio and its staff from responsibility in the event that my child is injured. I understand that I am responsible for all medical related expenses and transportation resulting from this injury. (Please initial)
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Policies: Chugim run from Sept 10-mid June. Prices are on an annual basis, broken into monthly payments for convenience. There will be 30 sessions of each chug throughout the year, we basically follow the school calendar. Withdrawals mid-year will entail a one-month fee. Missed sessions (by child) are not refunded. Children are permitted to do make-ups for missed sessions during other chugim time slots (space and age appropriateness permitting). Please initial
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