Yachad Club Registration Form
Hey 4th and 5th graders! Do you like meeting different kinds of people and making new friends? Do you like eating pizza, learning about the parsha and playing games? Do you like going to fun places in the community and helping people feel included in the group? If you do, this is your after school club! Yachad Club is an opportunity to learn more about inclusion, take part in fun activities, and learn about New England Yachad’s events in the community.
Pizza served.

Days: every other Monday

Time: 3:15 PM- 4:45 PM

Grades: 4th/5th

Dates: January 7, 14, February 4, 25, March 4, 18, April 1

Cost: $60

PLEASE BE SURE TO SCROLL TO THE BOTTOM OF THE PAGE AND CLICK SUBMIT TO RECORD YOUR RESPONSE.
The email address submitted will be used for ALL communication for this After School Club.

AS INDICATED ON THE 2018-2019 TUITION RATE SHEET, ALL CHARGES WILL BE BILLED THROUGH FACTS.
~ Please contact Susan Lagos at business@striarhebrew.org with any billing questions.
~ Please contact Nicole McGhee at nmcghee@striarhebrew.org with questions about clubs.

GENERAL CLUB INFORMATION
The enrollment form must be received by the close of school on December 14, 2018.
Students must be picked up when the club ends. Study hall is available for students who wish to stay after the club has ended. Fees apply.
Study Hall fees apply for siblings of club students.
*There are no refunds after the registration deadline.
*Students cannot try out sessions or switch clubs.
*Some clubs have a minimum and maximum number of students. Enroll early!

Child's Last Name *
Your answer
Child's First Name *
Your answer
Please explain how your child will be dismissed *
Email address (note: this email will be used for all communication for this Club) *
Your answer
Name of sibling attending Study Hall/Extended Day (if applicable; Study Hall/Extended Day rates apply)
Your answer
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