AftersCool Program Registration

AftersCool Program Registration

Register For Jewish AftersCool At Chabad Intown!

Hi there! We can’t wait to welcome your child into an amazing year of AftersCool fun at Chabad Intown. Please fill out the form below to ensure your child is registered for the 2025/2026 school year!

Number of children you'd like to register

1234

Child's Information

First Name

Last Name

Date of Birth

Child's Grade

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5

Primary Guardian

First Name

Last Name

Email

Phone

Free dinner included with all registration! Please let us know if your child has any allergies.

YesNo

What are the child's allergies?

How many days per week would you like to attend?

1234

Which days of the week would you like to attend?

MondayTuesdayWednesdayThursday

Please confirm, all registrations are for the 2025/2026 school year

Yes

2nd Child's Information

2nd Child's First Name

2nd Child's Last Name

2nd Child's Date of Birth

2nd Child's Grade

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5

2nd Child's Primary Guardian

First Name

Last Name

Email

Phone

Free dinner included with all registration! Please let us know if your child has any allergies.

YesNo

What are the child's allergies?

How many days per week would you like to attend?

1234

Which days of the week would you like to attend?

MondayTuesdayWednesdayThursday

Please confirm, all registrations are for the 2025/2026 school year

Yes

3rd Child's Information

3rd Child's First Name

3rd Child's Last Name

3rd Child's Date of Birth

3rd Child's Grade

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5

3rd Child's Primary Guardian

First Name

Last Name

Email

Phone

Free dinner included with all registration! Please let us know if your child has any allergies.

YesNo

What are the child's allergies?

How many days per week would you like to attend?

1234

Which days of the week would you like to attend?

MondayTuesdayWednesdayThursday

Please confirm, all registrations are for the 2025/2026 school year

Yes

4th Child's Information

4th Child's First Name

4th Child's Last Name

3rd Child's Date of Birth

4th Child's Grade

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5

4th Child's Primary Guardian

First Name

Last Name

Email

Phone

Free dinner included with all registration! Please let us know if your child has any allergies.

YesNo

What are the child's allergies?

How many days per week would you like to attend?

1234

Which days of the week would you like to attend?

MondayTuesdayWednesdayThursday

Please confirm, all registrations are for the 2025/2026 school year

Yes

Payment Information

Registration fee of $50.00 per child (to be applied to tuition).

Total $

Name on Card

Card Number

MM

YY

Code

Billing Address

Address Line 1

Address Line 2

City

State/Province

Zip Code

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Contact Information