JewQ form

Check out this Promo video.
If you'd like your child to join this amazing competition, please fill out the form below. We will contact you with full instructions.
Parent Full Name*
First NameLast Name
Child Full Name*
First NameLast Name
Parent E-mail*
Child E-mail
Phone Number*
Area CodePhone Number
Does child attend a Hebrew School?*
YesNo
If yes, which Hebrew School?
Comments? Questions?
Tuition
The tuition covers the hard-cover study-book as well as the trip for children that receive over a 70% on all three tests. (The grand trip to NY is not covered by this tuition fee.)
Tuition Cost:*Chabad Hebrew School Students: $30. All others: $60
$30$60

Payment

Credit Card Check

Postal / Zip Code

Country

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JewQ