Ckids After School 2024/25

Contact Information

First Name *

Last Name *

Address *

Email *

Phone *

Child Information:

Child 1 Name *

Child 1 Grade *

Child 1 Birthdate *

Child 2 Name

Child 2 Grade

Child 2 Birthdate

School Attending

Transportation

Transportation Required

Registration Options:

# of children you are registering

Months

Session 1: November 4 - December 19

Session 2: January 2 - February 20

Session 3: February 24 - April 10

Session 4: April 21 - June 26

Days

Monday

Tuesday

Wednesday

Thursday

Total

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code

The $50 registration fee (applied toward tuition) will be charged upon submission of this form. We will reach out to you shortly regarding tuition payments, daily transportation from your child's school to our location, and further information regarding your child.

Chabad of Union County

info@chabaduc.com | 908-790-0008 | 1400 Martine Ave, Scotch Plains, NJ 07076