Aleph Afterschool Club Registration Form 2025-2026

Alef Club takes place every Wednesday from 4:00–5:45 at Chabad of Noe Valley, 3781 Cesar Chavez

Please fill out all fields in this form. If you have any questions or concerns please contact Rabbi Yisroel at 3477686132 [email protected]
Student Profile
First Name*
Last Name*
Birth Date*

Month Day Year
Grade Entering
What school does child attend?
Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed
Does your child have any learning diffrences? What can we do to help them succeed?
Mother's Information
Name
First Name Last Name
E-mail
Phone Number

Area Code Phone Number
Is the Mother Jewish?

Home address

Father’s Information
Full Name
First Name Last Name
E-mail
Phone Number
Is the Father Jewish?
Emergency Contact Info
Emergency Contact*
First Name Last Name
Relationship to Child*
Phone Number*

Area Code Phone Number
Payment Information
Tuition is a sliding scale ($620, $720 or $820) Please indicate which plan works best for you and/or if you would like to place a deposit now and be billed at a later date. Our goal is to make Jewish experiences as accessible as possible if you need further financial assistance please do not hesitate to reach out to us.
Pay Now Full Tuition - $820 including deposit
Pay Now Discounted Rate - $720 Including Deposit
Pay Now Scholarship Rate - $620 (including deposit)
Deposit $100 Please bill me for the balance
Please bill me for: (If giving a deposit)
Total

$0.00

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Student Profile