Gesher 2024-2025 School Year Registration - Form - Temple Beth Tikvah

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Gesher 2024-2025 School Year Registration

Please verify reCaptcha before submitting the form.

* Parent 1: First Name

* Parent 1: Last Name

* Parent 1: Phone

* Parent 1: Email

Parent 2: First Name

Parent 2: Last Name

Parent 2: Phone

Parent 2: Email

Please complete this form to reserve your child(ren)'s spot in the Gesher Afterschool Program

* How many children are you registering for the 2024-25 Gesher Afterschool Program?

Child 1

* Child 1 Name

* Child 1 Grade (2024-25 School Year)

* Child 1 School

* How Many Days/Week?

Please Select One3 Days- $5434 Days- $5855 Days- $658Wednesday Only- $160

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

Desired Start Date

Child 2

* Child 2 Name

* Child 2 Grade (2024-25 School Year)

* Child 2 School

* How Many Days/Week?

Please Select One3 Days- $5434 Days- $5855 Days- $658Wednesday Only- $160

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

Desired Start Date

Child 3

* Child 3 Name

* Child 3 Grade (2024-25 School Year)

* Child 3 School

* How Many Days/Week?

Please Select One3 Days- $5434 Days- $5855 Days- $658Wednesday Only- $160

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

What days will your child be attending? Select all that apply.

MondayTuesdayWednesdayThursdayFriday

Desired Start Date

Thu, September 19 2024 16 Elul 5784

Temple Beth Tikvah | 1600 N Acacia Ave | Fullerton, CA 92831 | 714-871-3535

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