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Jewish Kids Club / Chabad of Central Switzerland 2016/17
(Please fill out the form below and send it back as soon as possible*)
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Child 1
Name: ________________________________________________
Hebrew Name: _________________________________________
Birthday: _________________________________________
What school does your child attend? ____________________________________
Grade (entering): ___________________
Child 2
Name: ________________________________________________
Hebrew Name: _________________________________________
Birthday: _________________________________________
What school does your child attend? ____________________________________
Grade (entering): ___________________
Parents Information
Names: _____________________________________________________________
Address: ______________________________________________________
Phone Number: _____________________ Mobile: ______________________
E-Mail: _______________________________________________________________
Additional Comments: _______________________________________________________
_________________________________________________________________________
I would like to register my child/ren to the Jewish Kids Club
Date: ___________________
Signature: _________________________
*Participation of the Kids Club is not a religious confirmation of the student Jewish status