Bugle Babies Registration

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Intake Form

Email *

Mother’s First and Last Name *

Phone Number *

Child’s First and Last Name *

Child’s Birthdate *

YYYY

Street Address *

City, State, Zip Code *

My class needs to be walking distance from my home. *

Yes

Shul/Community I live Closest To *

East Hill Synagogue, Englewood (EHS)

Congregation Ahavat Torah, Englewood (CAT)

Keter Torah (Roemer (New Milford

Bais Medrash of Bergenfield (BMOB)

Rinat (Teaneck)

Teaneck Square (TS)

One500 (Teaneck)

Other:

My shul not listed is:

Dates (Subject to Change)

Bugle Babies Spring/Summer Classes 2024
Miss Lisa May-June: 5 Mondays EHS 9:45, EHS 11:30, Rinat 4:00 5/13, 5/20, 6/3, 6/10, 6/17 $125
Miss Lisa May-Aug: 12 Mondays EHS 9:45, EHS 11:30, Rinat 4:00 5/13, 5/20, 6/3, 6/10, 6/17, 6/24, 7/1, 7/8, 7/15, 7/22, 7/29, 8/5, (5/27 no sessions Memorial Day) (Make up 8/12) $240

Miss Lisa May-June: 5 Tuesdays Roemer 9:30, One500 private apt 4:00 5/14, 5/21, 5/28, 6/4, 6/18 $125
Morah Keli May-June: 5 Tuesdays EHS 11:45 5/7, 5/14, 5/21, 5/28, 6/4 $125
Miss Lisa-May-Aug: 11 Tuesdays One500 (residents ONLY) private apt. 4:00 5/14, 5/21, 5/28, 6/4, 6/18, 6/25, 7/2, 7/9, 7/16, 7/23, 7/30,(Makeup 8/6) $220

Miss Lisa May-June: 5 Wednesdays Roemer 9:30, CAT 11:15, EJ's 4:00 5/15, 5/22, 5/29 ,6/5, 6/19 $125
Morah Keli May-June MDS 6 Wednesdays: 5/8, 5/15, 5/22, 5/29, 6/5, 6/19 $180
Miss Lisa May-August-12 Wednesdays: Roemer 9:30, CAT 11:15, EJ's 4:00 5/15, 5/22, 5/29, 6/5, 6/19, 6/26, 7/3, 7/10, 7/17, 7/24, 7/31, 8/7 (Make up 8/14) $240

Miss Lisa May-June: 5 Thursdays BMOB 9:30, EJ's 11:15, One500 (residents only) private apt. 4:00 5/9, 5/16, 5/23, 5/30, 6/6 $125
Miss Lisa May-Aug: 11 Thursdays BMOB 9:30, EJ's 11:15 5/9, 5/16, 5/23, 5/30, 6/6, 6/27, 7/11, 7/18, 7/25, 8/1, 8/8 (Make up 8/15) $220

Class Time 1st Choice *

A: May-Jun Mon 9:45 EHS $125

B: May-Aug Mon 9:45 EHS $240

C: May-June Mon 11:30 EHS $125

D: May-Aug Mon 11:30 EHS $240

E: May-June Mon 4:00 Rinat $125

F: May-Aug Mon 4:00 Rinat $240

G: May-JuneTues 4:00 One500 $125

H: May-AugTues 4:00 One500 $220

I: May-June Tues 9:30 Roemer $125

J: May-June Tues 11:45 EHS $125

K: May-June Wed 9:30 Roemer $125

L: May-Aug Wed 9:30 Roemer $240

M: May-June Wed 11:15 CAT $125

N: May-Aug Wed 11:15 CAT $240

O: May-June Wed 4:00 EJ's $125

P: May-Aug Wed 4:00 EJ's $240

Q: May-June Wed 11:40 MDS $180

R: May-June Thurs 9:30 BMOB $125

S: May-Aug Thurs 9:30 BMOB $220

T: May-June Thurs 11:15 EJ's $125

U: May-Aug Thurs 11:15 EJ's $220

V: May-June Thurs 4:00 One500 $125

Other:

Required

Class Time 2nd Choice *

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Option W: Only my first choice works for me

Other:

Second Class a Week for $15/week

Option A

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Option W: Only my first choice works for me

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Methods of Payment (Registration is not complete without payment) *

http://paypal.me/kreativekidz

Zelle keli@kreativekidz.net

Venmo @keli-teichman

Credit Card

Other:

Contact Info

Please email Keli@kreativekidz.net or 862-414-9409

Payments are for current semester and expire once semester is complete.

Payments are non refundable.

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