Yachdav's Jewish Knowledge Club Registration 26-27

01 Teen's Info

Name of Teen

Hebrew Name

Date of Birth & Gender

Current Grade

02 Parent's Info

Parent Name

Mother Born Jewish

Yes Converted Not Jewish

Converted by Whom

Email & Best Phone

Teen's Phone Number

Address

City, State, Zip

03 Payment Options

You can now receive 3 semester credits from Dunlap-Stone University for each JKC course.

Open to teens in grades 9–12.

Take the courses for college credit?

College Credit · Grades 9–12

Each course earns 3 semester credits, recorded on an official Dunlap-Stone University transcript under the course codes and names listed below.

$450 per course = $150 JKC course + $300 Dunlap-Stone University credit fee.

04 Credit Card

Card Type

Card Number

Expiration & Code

Use contact info above

Name on Card

Billing Address

Billing Zip

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