Registration for Makom & Makom BaChutz Program

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* Name of Parent:

Parent e-mail

Parent Phone

* Name of Student 1:

Student 1 Email

Student 1 Cell Phone

* Student 1 Grade (18-19) School Year

* Sign my student 1 up for

Member Registration for Fall Semester (October 3 – December 12) - $325.00

Non-member Registration for Fall Semester (October 3 – December 12) - $350.00

Member Registration for Winter Semester (January 2 – February 20) - $325.00

Non-member Registration for Winter Semester (January 2 – February 20) - $350.00

Member Registration for Spring Semester (February 27 – May 8) - $325.00

Non-member Registration for Spring Semester (February 27 – May 8) - $350.00

Makom BaChutz:“The Band’s Visit” , Oct. 28 - $39.00

Makom BaChutz:L-E-V Dance Company, Jan. 27 - $36.00

Makom BaChutz: SOHO Walking Tour of Art Galleries through a Jewish Lens, Apr. 28 - $0.00

Name of Student 2:

Student 2 Email

Student 2 Cell Phone

Student 2 Grade in School 18-19

Sign my student 2 up for

Member Registration for Fall Semester (October 3 – December 12) - $325.00

Non-member Registration for Fall Semester (October 3 – December 12) - $350.00

Member Registration for Winter Semester (January 2 – February 20) - $325.00

Non-member Registration for Winter Semester (January 2 – February 20) - $350.00

Member Registration for Spring Semester (February 27 – May 8) - $325.00

Non-member Registration for Spring Semester (February 27 – May 8) - $350.00

Makom BaChutz:“The Band’s Visit” , Oct. 28 - $39.00

Makom BaChutz:L-E-V Dance Company, Jan. 27 - $36.00

Makom BaChutz: SOHO Walking Tour of Art Galleries through a Jewish Lens, Apr. 28 - $0.00

Name of Student 3:

Student 3 Email

Student 3 Cell Phone

Student 3 Grade (18-19) School Year

Sign my student 3 up for

Member Registration for Fall Semester (October 3 – December 12) - $325.00

Non-member Registration for Fall Semester (October 3 – December 12) - $350.00

Member Registration for Winter Semester (January 2 – February 20) - $325.00

Non-member Registration for Winter Semester (January 2 – February 20) - $350.00

Member Registration for Spring Semester (February 27 – May 8) - $325.00

Non-member Registration for Spring Semester (February 27 – May 8) - $350.00

Makom BaChutz:“The Band’s Visit” , Oct. 28 - $39.00

Makom BaChutz:L-E-V Dance Company, Jan. 27 - $36.00

Makom BaChutz: SOHO Walking Tour of Art Galleries through a Jewish Lens, Apr. 28 - $0.00

Thu, April 25 2024
17 Nisan 5784

Thu, April 25 2024 17 Nisan 5784