Kesher Registration 2024-2025

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Thank you for registering for Kesher!

Please see our Kesher schedule for 2024-2025 (5785).

Please contact our office at office@shamayim.org or call 608-257-2944.

FAMILY INFORMATION

* New / Returning Family

* Parent/Guardian 1 First Name

* Parent/Guardian 1 Last Name

Home Phone

* Cell Phone

* Email

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Home Phone (if different)

Cell Phone

YOUR CHILD'S INFORMATION

* Child 1 First Name

* Child 1 Last Name

* Date of Birth

MM/DD/YYYY

Allergies or medical conditions

If no other children skip to the next section

Child 2 First Name

Child 2 Last Name

Date of Birth

MM/DD/YYYY

Allergies or medical conditions

PAYMENT INFORMATION

Member Rate: $36
Non-Member Rate: $72

For scholarship information please email Rabbi Laurie at rabbi@shamayim.org and select 'pay by check' when registering.

MemberNon-Member

Total

After clicking 'Submit' below you will be directed to a payment confirmation page. There, you can enter your credit card or banking details, or indicate that you will send a payment by check.

Sat, September 7 2024 4 Elul 5784