תשע"ט 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.
Email address *
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
Your answer
Child's Grade כיתה
Your answer
Please choose your child's chugim here
prices for chugim include materials unless otherwise noted
Art & English Chugim @ The Open Studio, prices include materials
English Chugim @ Yehuda Halevy School (200 nis per month + one time 300 nis materials fee)
English Chugim @ Ginot Hair - 210 nis per month + materials fee
Would you us to pick your child up from school? (Additional fee and minimum number of children required)
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)
Your answer
Policies: Chugim run through June 15 2019. Your credit card will be billed monthly for the same amount regardless of the number of sessions that particular month. (price per session x # of sessions/10 months = monthly payment) Cancellations incur a one-month fee. Missed sessions (by child) are not refunded. Classes will begin on Monday September 3. Please Initial.
Your answer
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