WJC Religious School Intake Form - Form - Westchester Jewish Center

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WJC Religious School Intake Form

Please verify reCaptcha before submitting the form.

* Today's Date

* Are you a member of Westchester Jewish Center

* Would you like membership information?

* Child's Name (also nickname)

* Family Name

* Grade in 2022/23 School Year

* Parent 1 - First Name

* Parent 1 - Last Name

* Parent 1 - Email Address

* Parent 1 - Mobile Phone

* Parent 2 - First Name

* Parent 2 - Last Name

* Parent 2 - Email Address

* Parent 2 - Mobile Phone

Sat, April 20 2024 12 Nisan 5784

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