Re-registration Form

This form is to re-register existing Cheder students for the next year. For new students, please use a different form by clicking here (form opens on January 15th).
Parent Name:*
First Name Last Name
Parent email:*
Our program is open for children aged 18 months and older, by September 1st, 2025. Based on your child's DOB, we will place him/her in the appropriate class.
Child 1 Name:*
First Name Last Name
Child 1 DOB:*

Month Day Year
Child 2 Name:
First Name Last Name
Child 2 DOB:

Month Day Year
Child 3 Name:
First Name Last Name
Child 3 DOB:

Month Day Year
Child 4 Name:
First Name Last Name
Child 4 DOB:

Month Day Year
Child 5 Name:
First Name Last Name
Child 5 DOB:

Month Day Year
Child 6 Name:
First Name Last Name
Child 6 DOB:

Month Day Year
There is a new acceptance procedure for the Extended Day program. You can submit your application and you will be notified of acceptance. There is a $150 non-refundable application fee per child. You will only be charged once your child is accepted, and the application fee will go towards your Extended Day tuition.

If you aren't registering for Extended Day, skip this next section and choose 'submit' below.
Preschool Extended Day:

I would like to sign up Child 1 for 3pm Extended DayI would like to sign up Child 2 for 3pm Extended DayI would like to sign up Child 3 for 3pm Extended DayI would like to sign up Child 4 for 3pm Extended DayI would like to sign up Child 5 for 3pm Extended Day
Total

$0.00

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Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

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