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.
Parent Name:*

First Name Last Name
Parent email:*
Child 1 Name:*

First Name Last Name
Child 1 DOB:*

Month Day Year
Age groups are:

Tiny Tots is for children who will be 18-24 months by September 1st.
Toddlers is for children who will be 2 by September 31st.
Nursery is for children who will be 3 by October 31st.
Kindergarten is for children who will be 4 by October 31st.
I'd like to re-register my child for:*
You can register your child for Extended Day (till 3pm) here. There is a $150 non-refundable application fee to hold a spot in the Extended Day program, which will be credited towards your tuition.

If you aren't registering for Extended Day, skip this next section and choose 'submit' below.
Child 2 Name:

First Name Last Name
Child 2 DOB:

Month Day Year
I'd like to re-register my child for:
Child 3 Name:

First Name Last Name
Child 3 DOB:

Month Day Year
I'd like to re-register my child for:
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 Day
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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