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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?
Please Select One
1
2
3
Child 1
*
Child 1 Name
*
Child 1 Grade (2024-25 School Year)
*
Child 1 School
*
How Many Days/Week?
Please Select One
3 Days- $543
4 Days- $585
5 Days- $658
Wednesday Only- $160
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Desired Start Date
Child 2
*
Child 2 Name
*
Child 2 Grade (2024-25 School Year)
*
Child 2 School
*
How Many Days/Week?
Please Select One
3 Days- $543
4 Days- $585
5 Days- $658
Wednesday Only- $160
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Desired Start Date
Child 3
*
Child 3 Name
*
Child 3 Grade (2024-25 School Year)
*
Child 3 School
*
How Many Days/Week?
Please Select One
3 Days- $543
4 Days- $585
5 Days- $658
Wednesday Only- $160
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
What days will your child be attending? Select all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Desired Start Date
Wed, November 20 2024 19 Cheshvan 5785
