JTHC Registration

Jewish Teens Homework Club
An exclusive Jewish Teens Homework Club catering to local teens.
* Gameroom: Arcades & Video Games
* Tasty Food
* Homework with professional tutoring
* Jewish roots inspiration

On Tuesdays, Wednesdays and Thursdays 3:45pm - 5:15pm
Registration
Value Cost: $800 Discounted Cost $400*Tuesday - Thursday 3:45 - 5:15pm
HCH graduate $300$400
Sponsor a scholarship
$400 CAD
Student and Family Information
Full Name*
First NameLast Name
Hebrew Name*
First NameMiddle Name
Birth Date*
MonthDayYear
Time Born*In Judaism the day begins at nightfall, so the exact jewish birthday will depend on the birth being before or after sunset.
Born before SunsetBorn after Sunset
Parents Marital Status*
MarriedDivorcedSingle
Mother is Jewish by:*
BirthChoice
With which Rabbi?*a certificate of conversion should be sent to [email protected]
Mother's Hebrew Name
School attending*
Grade*

Address*

Additional notable InformationPlease let us know if there are any allergies or other important information we need to be aware of.
Guardian
Primary Contact
Name*
First NameLast Name
Relationship to student*
Cell Phone*
Area CodePhone Number
E-mail*
Emergency Contact
Name*
First NameLast Name
Phone Number*
Area CodePhone Number
Relationship to student*
I would like to receive news and updates by email
Acknowledgement*
By registering, I acknowledge that there may be photographs taken of my child throughout the year, and I consent to the use of these photographs in future Jewish Teens Homework Club communications.
Total
$0.00 CAD
Payment Options*
Pay in one time10 monthly payments

Payment*

Credit Card

Billing Address

Street Address

Apartment #

City

State / Province

Postal / Zip Code

Country

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WELCOME TO CTEEN - THE COOLEST PLACE FOR JEWISH TEENS