2022 Early Childhood Program Pay by Check - Form - Brotherhood Synagogue

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2022 Early Childhood Program Pay by Check

Please verify reCaptcha before submitting the form.

Register now for Winter/Spring 2022 ECP classes!
For more details about our programs please click here.

* First Name

* Last Name

* Email

* Mobile Phone

* Address

* City

* State

* Zip Code

Home Phone

Work Phone

* Is there a second Parent/Guardian?

* First Name

* Last Name

* Email

* Mobile Phone

* Does Parent/Guardian 2 live at the same address as Parent/Guardian1?

* Address

* City

* State

* Zip Code

* Person(s) who will accompany the child(ren) at class

Name(s) of other Adult(s)

* How many children are being registered?

Child 1 - First Name

Child 1 - Last Name

Child 1 - Gender

Child 1 - Date of Birth

* Does your child have any special needs?

Child 1 - Please provide a detailed description

* Child 1 - Is this child a member of Brotherhood Synagogue

Child 1 - Please select a Program(s):

Baby Class 1- Thursday- 11:30 AM - $720.00Pre-Toddler Class 1- Thursday- 10:30 AM - $720.00Toddler Class 3 - Thursday- 9:30 AM - $720.00Thursday Corner 1 - Thursday - 3:00 PM - $720.00Thursday Corner 2 - Thursday - 4:15 PM - $720.00

Child 1 - Please select a Program(s):

Baby Class 1- Thursday- 11:30 AM - $800.00Pre-Toddler Class 1- Thursday- 10:30 AM - $800.00Toddler Class 3 - Thursday- 9:30 AM - $800.00Thursday Corner 1 - Thursday - 3:00 PM - $800.00Thursday Corner 2 - Thursday - 4:15 PM - $800.00

Child 2 - First Name

Child 2 - Last Name

Child 2 - Gender

Child 2 - Date of Birth

* Child 2 - Does your child have any special needs?

Child 2 - Please provide a detailed description

* Child 2 - Is this child a member of Brotherhood Synagogue

Child 2 - Please select a Program(s):

Baby Class 1- Thursday- 11:30 AM - $720.00Pre-Toddler Class 1- Thursday- 10:30 AM - $720.00Toddler Class 3 - Thursday- 9:30 AM - $720.00Thursday Corner 1 - Thursday - 3:00 PM - $720.00Thursday Corner 2 - Thursday - 4:15 PM - $720.00

Child 2 - Please select a Program(s):

Baby Class 1- Thursday- 11:30 AM - $800.00Pre-Toddler Class 1- Thursday- 10:30 AM - $800.00Toddler Class 3 - Thursday- 9:30 AM - $800.00Thursday Corner 1 - Thursday - 3:00 PM - $800.00Thursday Corner 2 - Thursday - 4:15 PM - $800.00

Child 3 - First Name

Child 3 - Last Name

Child 3 - Gender

Child 3 - Date of Birth

* Child 3 - Does your child have any special needs?

Child 3 - Please provide a detailed description

* Child 3 - Is this child a member of Brotherhood Synagogue

Child 3 - Please select a Program(s):

Baby Class 1- Thursday- 11:30 AM - $720.00Pre-Toddler Class 1- Thursday- 10:30 AM - $720.00Toddler Class 3 - Thursday- 9:30 AM - $720.00Thursday Corner 2 - Thursday - 3:00 PM - $720.00Thursday Corner 2 - Thursday - 4:15 PM - $720.00

Child 3 - Please select a Program(s):

Baby Class 1- Thursday- 11:30 AM - $800.00Pre-Toddler Class 1- Thursday- 10:30 AM - $800.00Toddler Class 3- Thursday- 9:30 AM - $800.00Thursday Corner 1 - Thursday - 3:00 PM - $800.00Thursday Corner 2 - Thursday - 4:15 PM - $800.00

Please note that there are no make-up classes or refunds for missed classes in any of Brotherhood’s Early Childhood Program.

Total Fees

Thu, April 25 2024 17 Nisan 5784

©2023 The Brotherhood Synagogue

28 Gramercy Park South, New York, NY 10003

Main Tel: (212) 674-5750

Nursery School: (212) 995-9867

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