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Full Year Tuition (All 18 classes): $375

Address
City, Zip & State
Grade School
Student Cell Student Email
Mother's Name Father's Name
Mother's Phone Father's Phone
Mother's Email Father's Email
Emergency Contact Person Emergency Contact Phone
Best way to reach me for reminders is

Optional Donation
supporting youth activities
 Payment Schedule
Payment Method Card Number
Expiration CVV Code
Cardholder's Name Biling Zip
Amount to Charge Today Comments
Check can be mailed to Beth Menachem Chabad of Newton • 349 Dedham Street • Newton, MA 02459