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JTeen Learn & Live

We are so glad you're child will join our JTeen Learn & Live program!
Please fill out the form below
If you are a member, please login to receive tuition discounts

PARENT'S INFORMATION

MOTHER'S INFORMATION

FATHER'S INFORMATION
If same as above, just write 'same'

CHILD #1 INFORMATION

CHILD #2 INFORMATION (if applicable)

EMERGENCY CONTACT

PROGRAM & PAYMENT

- The program is on Tuesdays & Fridays, 8:00-8:45 am
- Tuition is $170/month.
20% discount for Community Members: $140/month (Members: Please login to receive the tuition discount)
- Tuition will be paid monthly, either by check or credit card. There is a 3% fee for credit card payments
- There is a $75 registration fee
- No student will be turned away due to lack of funds
 
CREDIT CARD INFO (if paying by cc)
Wed, October 22 2025 30 Tishrei 5786