*Full* Family Programming 2024-2025 - Form

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Full Family Programming 2024-2025

NOTICE: Please log in to your ShulCloud account before registering for Tzedek's Family Program.

Guardian Contact Information

* First Name

* Last Name

* Email Address

* Phone Number

* Primary Address (Line 1)

Primary Address (Line 2)

* City

* State

* ZIP Code

* Relationship with Student(s)

Student Information

* How many students will you be registering for Family Programming?

First Name (Student 1)

Last Name (Student 1)

Date of Birth (Student 1)

Allergies / Dietary Restrictions (Student 1)

First Name (Student 2)

Last Name (Student 2)

Date of Birth (Student 2)

Allergies / Dietary Restrictions (Student 2)

First Name (Student 3)

Last Name (Student 3)

Date of Birth (Student 3)

Allergies / Dietary Restrictions (Student 3)

First Name (Student 4)

Last Name (Student 4)

Date of Birth (Student 4)

Allergies / Dietary Restrictions (Student 4)

First Name (Student 5)

Date of Birth (Student 5)

Allergies / Dietary Restrictions (Student 5)

Additional Questions

Is there anything you would like to contribute to our program? Examples include: bringing snacks, sharing a special skill, or providing learning resources.

Is there any information you want Aviva to have to be best able to support your child at our programming?

Program Payment Options

All families who join our regular family program are expected to become members of Tzedek Chicago (you can do so here, right now!). Tzedek Chicago values respectful compensation for our staff and community partners who make this program possible. In addition to membership, we ask that each family contribute tuition on a pay-what-you-can basis. We encourage you to select a per session cost that is accessible for your family, and consider making a contribution towards supporting access to this program for others. Additionally, after clicking the "Submit" button at the bottom of this form, you will have the option of splitting your payments and setting up a payment plan that works best for you and your family.

Possible tuition payments:

$25/session = $425
$36/session = $612
$50/session = $850
$100/session = $1700

Our program will meet 17 times throughout the year. Please consider what is possible for your family at a per-session rate.

Please enter your preferred total payment amount for the 2024-2025 school year below:

Payment Total:

Sat, September 21 2024 18 Elul 5784