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
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Child's First Name
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Guardian's First Name
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Mother's cell #
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Email address
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My child currently attends the following school
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My child is currently in grade
Shaarei Shomayim Location Dance Studio
Are there any medical/ emergencies/ allergies that we should be aware of?
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Emergency contact #1 Name & Number
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Emergency contact #2 Name & Number
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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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