Kids in the Kitchen Register

BOYS & GIRLS AGES 4 - 11

Are you between the ages of 4 and 11 and like to cook? Are you proud to be Jewish and want to hang out with other Jewish Kids? If so, this club is for you!

Kids in the Kitchen will transform your cooking interest into new skills. We’ll have fun making an array of kosher foods. All food will be prepared with a tasty goal in mind and some examples are calzones, Falafal, Pizza, and more! You will learn the cooking basics, self-sufficiency, kitchen safety, all with a Jewish twist.

7 Sundays @ 3:30-5:00 p.m.

Nov. 17/ Dec. 15/ Jan. 12/ Feb. 16/ Mar. 15/ Apr. 5/ May 17

Price: $140 for the entire session or $22 for individual class

1. Child's Information
Child Name*
First Name Middle Name Last Name
Birth Date*

Month Day Year
Hebrew Name
Jewish Education Current/Previous

yesno
If yes, where?
2. Parent information
Mother's Name*
First Name Last Name
Mother's Phone Number*

Area Code Phone Number
Mother's E-mail*
Father's Name*
First Name Last Name
Fathers Phone Number*

Area Code Phone Number
Father's E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

How did you hear about us?
I/we understand that my/our child(ren) may be included in photographs and video footage that may be photographed or filmed during Ckids. I authorize Ckids and Chabad of Lakeview to use these photos/videos to promote its programs and services in print, web, and other promotional contexts.*

I Agree
3. Emergency Information
Emergency Contact*
First Name Last Name
Phone Number*

Area Code Phone Number
Relationship*
Doctor
First Name Last Name
Phone Number

Area Code Phone Number
Allergies and/or other known conditions we should be aware of
Other information
4. Payment Information
7 Week Course

$140
Pay for individual Classes

Nov 17Dec 15Jan. 12Feb 16March 15April 5May 17
Total amount of Classes attending
I want to help co-sponsor this event and help bring more children events to Lakeview

$36$75$108

Payment

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Total

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1. Child's Information

2. Parent information

3. Emergency Information

4. Payment Information

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