Register - Center City Jewish Preschool
community. caring. respect.
 
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Culinary Camp Registration
Week of June 18-22
 
Child Profile
First Name
Last Name
School
Grade
Age
DOB
 
Family Information
Father's Name
Mother's Name
Phone
Address
City
Zip
Mother's Email
Father's Email
Persons authorized to pick-up my child
 
Emergency Information
Emergency Contact 1
Phone
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
 
Cost: $360

Checks are payable to CCJP
527 Lombard Street, Philadelphia PA 19147

 

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