Sunday JCK Dance & Activity Shaarei Shomayim Registration (October 29th- January 21st. Fall/ Winter 2017/2018
Our South Schedule has changed- Offering only NeshamaDANCE classes
***Additional 10% off when you register by September 28th
Fall/ Winter- October 29th- January 21st
Sunday Drop In- $20
Child's Last Name
Child's First Name
Guardian's First Name
Mother's cell #
My child currently attends the following school
My child is currently in grade
Tots recreational program-Under Age 4 (Toilet trained)
Shaarei Shomayim Location Dance Studio
NeshamaDANCE- BAT MITZVAH DANCE CLUB- Ages 10-13- 11:30am-12:30pm $240 (Includes a Bat Mitzvah Dance Club outfit + a $100 credit when you book your next event with us!)
Are there any medical/ emergencies/ allergies that we should be aware of?
Emergency contact #1 Name & Number
Emergency contact #2 Name & Number
Please initial: I hereby provide my child with permission to participate in all programs provided by JCreative Group Inc at Shaarei Shomayim- 470 Glencairn. I hereby remove JCreative Group Inc. from being responsible for any injuries that may occur in any activities while my child is enrolled in the program. I agree. Please initial:
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