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Mini Gan Izzy Registration

  • Mini Gan Izzy REGISTRATION

  • Parents Information

  • Emergency Information

  • Disclaimer

  • Disclaimer 

    Accident: As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of Chabad of the Delta to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad of the Delta personnel will try, but are not required, to communicate with me prior to such treatment.

    Trips and Outings: I hereby give permission for my child to attend and participate in all trips and outings organized as part of the program by Chabad of the Delta.

    Privacy: I hereby give permission for my child’s photographs/videos to be used in newsletters, local newspapers, Chabad of the Delta website or for promotion of our program.

  • Dates and Rates

  • Dates:

    June 24th - June 28th 

    9:00 AM - 1:00 PM 

    Rate: $125 (Kosher and nutritious lunches and snacks included)

    Part and whole scholarships available 

  • Agreement

    I hereby confirm my child’s enrollment in Chabad of the Delta's Mini Gan Izzy.

    I represent that I am the custodial parent or legal guardian of the child that I am enrolling and that the information

    I have provided is true and correct.

  • Payment

  • Payment #1 is due on or before June 19th, 2019 and payment # 2 is due by June 26th, 2019. Postdated check must be submitted. If paying by credit card, your card will be charged on June 26th, 2019.

  • $125.00
  •   
    Credit Card
    Please make check payable to:
    Chabad of the Delta
    2295 Tilton Lane
    Brentwood, CA 94513
    Please mail by August 8th
    Billing Address
  • -Enrollment and acceptance in Mini Gan Izzy is in no way a validation of one’s status as a Jew- 

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