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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