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The Real Jewish Imas of Orange County NY

2026 Registration Form

If you require a discounted rate please contact our office. No one will be turned down due to lack of funds.
Full Name
First Name Last Name
E-mail*
Cell Phone Number*

Area Code Phone Number
Registration Options - 1st Child
Child's Name:
Child's Age:
All Sessions

8 Sessions for $120
Individual Sessions $20 each

April 21April 28May 5May 12May 19May 26June 2June 9
Registration Options - 2nd Child
Child's Name:
Child's Age:
All Sessions - Additional Child - Only $60

8 Sessions for $60
Individual Sessions - Additional Child - Only $10 each

April 21April 28May 5May 12May 19May 26June 2June 9
Do you or your child have any food allergies?
What do you hope to gain from being a part of the Real Jewish Imas of Orange County, NY?
Special Sponsorship Options

Sponsor a session in honor or your child's birthday or any occasion $50Gift a session for a family in need $120Gift an individual class for a family in need $20
General Sponsorships Sponsorships are calculated in addition to class fee

$54$100$180$360$540$1000
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%

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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