<!DOCTYPE html>

<html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en">
<head>
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="Content-Language" content="en" />

<meta property="og:image" content="https://w2.chabad.org/media/images/1093/mcns10933109.jpg" itemprop="image" width="130" height="92" />
<meta property="og:image:width" content="130" />
<meta property="og:image:height" content="92" />
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0" />
<meta name="keywords" content="Returning,Student,Renewal,Form" />
<meta name="title" content="Returning Student Renewal Form - Chabad Neshama Center" />
<meta property="og:type" content="website" />
<meta name="scope-aids" content="77228-77234-2623882-3722907-3722917-3298105-4460040" />
<meta name="article-keywords" content="2185-6760-20429-8495-8503-2170-2898" />
<meta name="scope-aid" content="77228" />
<meta name="scope-aid" content="77234" />
<meta name="scope-aid" content="2623882" />
<meta name="scope-aid" content="3722907" />
<meta name="scope-aid" content="3722917" />
<meta name="scope-aid" content="3298105" />
<meta name="scope-aid" content="4460040" />
<meta name="article-keyword" content="2185" />
<meta name="article-keyword" content="6760" />
<meta name="article-keyword" content="20429" />
<meta name="article-keyword" content="8495" />
<meta name="article-keyword" content="8503" />
<meta name="article-keyword" content="2170" />
<meta name="article-keyword" content="2898" />
<meta property="og:url" content="https://www.chabadneshama.com/templates/articlecco_cdo/aid/4460040/jewish/Returning-Student-Renewal-Form.htm" />
<meta property="twitter:card" content="summary_large_image" />
<meta property="twitter:site" content="@chabad" />
<meta property="og:title" content="Returning Student Renewal Form - Chabad Neshama Center" /><link rel="canonical" href="https://www.chabadneshama.com/templates/articlecco_cdo/aid/4460040/jewish/Returning-Student-Renewal-Form.htm" />
<link rel="image_src" href="https://w2.chabad.org/media/images/1093/mcns10933109.jpg" />
<link rel="icon" type="image/png" href="https://www.chabadneshama.com/media/images/1260/LXbF12604204.png" />
<link rel="Stylesheet" href="/css/fonts/font-awesome/font-awesome-5.css?g=40&v=2D6ABDDB" id="kfont-awesome" type="text/css"/>
<link rel="Stylesheet" href="/css/DefaultGrid.css?g=40&v=A13D74E8" id="kgrid" type="text/css"/>
<link rel="Stylesheet" href="/css/Elements.css?g=40&v=3A4C63F4" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/vendor/ds/tokens/sites.css?g=40&v=A934B108" id="ksites-ds-css" type="text/css"/>
<link rel="Stylesheet" href="/css/new/main.css?g=40&v=BB63DD50" id="k7" type="text/css"/>
<link rel="Stylesheet" href="/css/global.css?g=40&v=27BD2E9E" id="k3" type="text/css"/>
<link rel="Stylesheet" href="/css/global-print.css?g=40&v=6DE80B07" id="k5" type="text/css" media="print"/>
<link rel="Stylesheet" href="/css/cco/home/widget-styles.css?g=40&v=A8AC7A58" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/sites6/default-theme.css?g=40&v=546A0139" id="k" type="text/css"/>
<link rel="Stylesheet" href="/css/old/global.css?g=40&v=43DDBA77" id="k2898" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/minisites/mobile-menu.css?g=40&v=7D9BE3B4" id="k8503" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/fundraising/FundraisingTickerltr.css?g=40&v=98BE942D" id="kfundraisingtickerCss" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/formCss2.css?g=40&v=AB6A2925" id="kFormCss" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/themes/nova.css?g=40&v=87AD6957" id="kNova" type="text/css"/>
<link rel="Stylesheet" href="/css/bootstrap/grid.css?g=40&v=F4390F2B" id="kbootstrap4-grid" type="text/css"/>
<link rel="Stylesheet" href="/css/Library/reader-comments.css?g=40&v=8AB57D79" id="kCommentsStylesheet" type="text/css"/>
<link rel="Stylesheet" href="/css/inline/BookInfo.css?g=40&v=3D052243" id="kBookInfoCss" type="text/css"/>
<!--[if lte IE 8]> <link rel="Stylesheet" href="/css/global-ie.css?g=40&v=807ACD6C" id="k4" type="text/css"/> <![endif]-->
<script>$q=[];$j=function(f){$q.push(f);}</script>
	
<title>
	Returning Student Renewal Form - Chabad Neshama Center
</title>
	



<script>
	window.dataLayer = window.dataLayer || [];
	dataLayer.push({"event":"datalayer-initialized","page":{"numberOfComments":0,"publicationDate":"2019-08-11","primaryArticleId":4460040,"title":"","author":"","authorId":0,"contentLevel1":"My Site","contentLevel2":"YOUTH & TEENS","contentLevel3":"Jewish Kids Club","contentLevel4":"REGISTRATION","contentLevel5":"JKC Registration 2020-2021","contentLevel6":"Returning Student Renewal Form","siteName":"Chabad Neshama Center"},"time":{"upcomingHoliday":"Rosh Hashanah","daysToUpcomingHoliday":24,"hebrewDate":"5786-06-06"}});
		dataLayer.push({ 'articleHierarchy': '-77228-77234-2623882-3722907-3722917-3298105-4460040-', 'keywords': '-k2898-k2170-k8503-k8495-k20429-k6760-k2185-', 'k': '-77228-77234-2623882-3722907-3722917-3298105-4460040--k2898-k2170-k8503-k8495-k20429-k6760-k2185-' });
	
</script>
<script>

(function(c,h,a,b,a,d){c[a]=c[a]||[];c[a].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=h.getElementsByTagName(b)[0],
j=h.createElement(b);j.async=true;
j.src='https://w6.chabad.org/mitzvah-tank.js';f.parentNode.insertBefore(j,f);
})(window,document,0,'script','dataLayer');</script>

	<!-- Start of StatCounter Code -->
	<script type="text/javascript">
	var sc_project = 1075897;var sc_partition = 1;var sc_invisible = 1;var sc_remove_link=1;var sc_security = "14fd2c4c";var sc_https = 1;
	</script>
	<script type="text/javascript" src="https://secure.statcounter.com/counter/counter_xhtml.js" defer async></script>
	<noscript><img src="//c2.statcounter.com/counter.php?sc_project=1075897&amp;java=0&amp;security=14fd2c4c&amp;invisible=1" border="0" /> </noscript>
	<!-- End of StatCounter Code -->


<link rel="stylesheet" type="text/css" href="https://www.thevyatergroup.com/imagestyle/imagestyle.css" media="all" />
    <link rel="stylesheet" type="text/css" href="https://www.thevyatergroup.com/imagestyle/imagedemo.css" media="all" />
   <link href='https://fonts.googleapis.com/css?family=Dosis:400,600' rel='stylesheet' type='text/css'>
    
   

<script src="https://www.thevyatergroup.com/js/jquery-1.8.1.min.js" async type="text/javascript"></script><script src="https://www.thevyatergroup.com/js/imagecontrol.js" type="text/javascript"></script></head>
<body class="lang_en dir_ltr cco_body form secure section_branch sites-article">

	


	
	<div id="PrintCreditHeader" class="show_for_print">
Printed from<b>ChabadNeshama.com</b>
</div>
	<div id="header">
		<div class="wrapper header-wrapper">
			
<div id="feedback_bar" class="hide_for_print no_outline">
	<div class="wrapper">
		
	</div>
</div>

			


<div id="header_container" class="header_container">
	<div class="clearfix links">
		<img src="https://w2.chabad.org/images/global/spacer.gif" width="15" height="8" class="baruch_hashem" />
		<div class="float_right">
			
			
				<div class="topBarLink cco_topbar_link ask_the_rabbi_link">
					<a href="/asktherabbi/default_cdo/jewish/Ask-the-Rabbi.htm">Ask the Rabbi</a>
				</div>
				
			
			
				<div class="topBarLink cco_topbar_link contact_link">
					<a href="/tools/feedback.asp">Contact</a>
				</div>
			
			
		</div>
		<div class="float_left">
			
				<div class="topBarLink cco_topbar_link home_link">
					<a href="/">Home</a>
				</div>
				
			
				<div class="topBarLink cco_topbar_link about_link">
					<a href="/2623911">About</a>
				</div>
				
			
			

<div class="topBarLink mychabad_login_bar" id="mychabad_login_bar">
	
			
				<a href="/tools/login/default.asp?aid=4460040&amp;jewish=Returning-Student-Renewal-Form.htm" class="login_link" id="login_link">Sign In</a>
			
			
		
</div>
			
		</div>
	</div>
	<div class="break_floats"></div>
</div>

			<div class="clearfix branding-search">
				<div id="header_branding" class="no_outline  logo">
					<div class="g260 no_margin cco_search_header float_right">
						

<div class="co_search_form margin05">
	<form name="MainSearchForm" id="MainSearchForm" method="get" action="/search/results.asp" class="clearfix" onsubmit="return Co.Forms.Validation.Validate(this, null, {markAsSubmitted:false});">
		<div class="co_global_submit"><button type="submit" class="button" value=" "><span> </span></button></div>
		

<div class="co_global_input_container clearfix">
	<input id="topAreaTopSearch_search" required="true" autocomplete="nope" placeholder="Search" value="" OnAutoSuggestSelect="OnSearchAutoSuggestSelect(ev);" class="co_global_input co_search js-search-field active js-mirrored-input" onblur="this.form.className = this.form.className.replace(/\sactive/gi, &#39;&#39;);" name="searchWord" onfocus="this.form.className+=&#39; active&#39;;" type="text" autoSuggestProperties="&quot;Highlight&quot;:true,&quot;Name&quot;:&quot;topAreaTopSearch_search&quot;,&quot;AutoSubmit&quot;:true,&quot;ShowRecommendedOnTop&quot;:false" autoSuggestUrl="/WebServices/RemoteCall/Get_Suggestions" display_name="Search Field" min_length="3"></input>
</div>

			
		
		
	
		<div id="topAreaTopSearch_search_wrapper" class="co_field_options" style="display:none;">
			<div class="co_absolute_wraper" id="co_absolute_wraper" style="">
				<div class="inner">
					<div id="topAreaTopSearch_search_container" class="co_field_options_suggestions"></div>
					<div class="break_floats"></div>
					
				</div>
			</div>
		</div>
	</form>
</div>
					</div>
					
						<div class="float_left site-logo-wrapper"><a href="/"><img src="https://w2.chabad.org/media/images/1260/LXbF12604204.png" width="100" height="100" border="0"  /></a></div>
					
					<a href="/default.asp" title="Chabad Neshama Center" class="site_title">Chabad Neshama Center<span class="site_subtitle clearfix"> </span></a>
				</div>
			</div>
			
			
			<button type='button' class='cs-mobile-menu-open js-mobile-menu-open'><i class='fa fa-bars'></i></button>
			<div class="site-nav-wrapper">
				<script>
var primaryNavigationVersion = "639226695015999420";
</script>
<div id="co_menu_container_wrapper" class="co_menu_container_wrapper " data-list-name="primary navigation"> 
<div class="co_menu_container clearfix" id="co_menu_container">
<a class="menu_logo" href="/"></a>
<table cellpadding="0" cellspacing="0" border="0" class="main_menu_container first global">
<tr id="tabContentMain" tab="Main" style="display:table-row;">
<td class="co_menu_item home" data-menu-level="1"><a href="/default.asp"><img class="co_menu_home_image" src="https://w2.chabad.org/images/global/spacer.gif" width="28" height="60" border="0" onmouseover="this.className += ' hover';" onmouseout="this.className=this.className.replace(/\s?hover/gi, '');" /></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item" aid="2623928" data-menu-level="1" onmouseover="this.className += ' hover';" onmouseout="this.className = this.className.replace(/\shover/gi, '');" >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><div><a href="/templates/section_cdo/aid/2623928/jewish/OUR-SYNAGOGUE.htm" class="parent">OUR<br />SYNAGOGUE</a></div></span><a href="/templates/section_cdo/aid/2623928/jewish/OUR-SYNAGOGUE.htm" class="bg_extension js-parent-menu-link" data-aid="2623928"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="89216" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/5645272/jewish/High-Holidays-2026.htm" class="item hover" id="menu_item2-1" data-menu-level="2" data-aid="5645272">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>High Holidays 2026</span>
</a>
<a href="/templates/section_cdo/aid/6168043/jewish/Chanukah.htm" class="item" id="menu_item2-2" data-menu-level="2" data-aid="6168043">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Chanukah</span>
</a>
<a href="/templates/articlecco_cdo/aid/1749630/jewish/Tu-Bshvat.htm" class="item empty" id="menu_item2-3" data-menu-level="2" data-aid="1749630">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Tu B'shvat </span>
</a>
<a href="/templates/articlecco_cdo/aid/1748976/jewish/PURIM.htm" class="item" id="menu_item2-4" data-menu-level="2" data-aid="1748976">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>PURIM </span>
</a>
<a href="/templates/section_cdo/aid/5898525/jewish/Passover.htm" class="item" id="menu_item2-5" data-menu-level="2" data-aid="5898525">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Passover</span>
</a>
<a href="/templates/articlecco_cdo/aid/4382700/jewish/Lag-BaOmer-BBQ.htm" class="item empty" id="menu_item2-6" data-menu-level="2" data-aid="4382700">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Lag Ba'Omer BBQ</span>
</a>
<a href="/templates/articlecco_cdo/aid/1748978/jewish/Shavuot.htm" class="item empty" id="menu_item2-7" data-menu-level="2" data-aid="1748978">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Shavuot</span>
</a>
<a href="/templates/articlecco_cdo/aid/2842900/jewish/Holiday-Events-Photos.htm" class="item" id="menu_item2-8" data-menu-level="2" data-aid="2842900">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Holiday Events Photos</span>
</a>
</div>
<div id="menu_child2-1" class="menu_child selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/5645287/jewish/Appeal.htm" class="child_item default" data-menu-level="3" data-aid="5645287"><span>Appeal</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-2" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/5712285/jewish/Chanukah-Wonderland.htm" class="child_item default" data-menu-level="3" data-aid="5712285"><span>Chanukah Wonderland</span></a>
<a href="/templates/articlecco_cdo/aid/6700489/jewish/Chanukah-Outdoor-Celebration.htm" class="child_item default" data-menu-level="3" data-aid="6700489"><span>Chanukah Outdoor Celebration</span></a>
<a href="/templates/articlecco_cdo/aid/6700452/jewish/Chanukah-Family-Festival.htm" class="child_item default" data-menu-level="3" data-aid="6700452"><span>Chanukah Family Festival</span></a>
<a href="/templates/articlecco_cdo/aid/6702106/jewish/Chanukah-Dinner.htm" class="child_item default" data-menu-level="3" data-aid="6702106"><span>Chanukah Dinner</span></a>
<a href="/templates/articlecco_cdo/aid/7098969/jewish/Chabad-Womens-Club-Sivans-Kitchen.htm" class="child_item default" data-menu-level="3" data-aid="7098969"><span>Chabad Women's Club - Sivan's Kitchen</span></a>
<a href="/templates/articlecco_cdo/aid/7131674/jewish/Chanukah-Toy-Drive.htm" class="child_item default" data-menu-level="3" data-aid="7131674"><span>Chanukah Toy Drive</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-3" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-4" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/6785237/jewish/Chabad-Womens-Club-Hamantash-Bake.htm" class="child_item default" data-menu-level="3" data-aid="6785237"><span>Chabad Womens' Club - Hamantash Bake</span></a>
<a href="https://www.chabadneshama.com/holidays/purim/default_cdo/jewish/Purim.htm" class="child_item default" data-menu-level="3" data-aid="4597145"><span>Purim Guide</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-5" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/5898536/jewish/Sell-Chametz.htm" class="child_item default" data-menu-level="3" data-aid="5898536"><span>Sell Chametz</span></a>
<a href="/templates/articlecco_cdo/aid/5475686/jewish/Family-Passover-Seder.htm" class="child_item default" data-menu-level="3" data-aid="5475686"><span>Family Passover Seder</span></a>
<a href="https://www.chabadneshama.com/holidays/passover/default_cdo/jewish/Passover.htm" class="child_item default" data-menu-level="3" data-aid="5473862"><span>Passover Guide</span></a>
<a href="/generic_cdo/aid/5075231/jewish/The-Chabadorg-Haggadah.htm" class="child_item link" data-menu-level="3" data-aid="5473867"><span>Downloadable Haggadah</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-6" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-7" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child2-8" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/photogallery_cdo/aid/2842906/jewish/Chanukah-Family-Festival.htm" class="child_item default" data-menu-level="3" data-aid="2842906"><span>Chanukah Family Festival</span></a>
<a href="/templates/photogallery_cdo/aid/1755018/jewish/Chanukah-at-OPM.htm" class="child_item default" data-menu-level="3" data-aid="1755018"><span>Chanukah at OPM</span></a>
<a href="/templates/photogallery_cdo/aid/1755249/jewish/Menorah-Lighting.htm" class="child_item default" data-menu-level="3" data-aid="1755249"><span>Menorah Lighting</span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/89216/jewish/HOLIDAY-EVENTS.htm" class="parent">HOLIDAY<br />EVENTS</a></div></span><a href="/templates/articlecco_cdo/aid/89216/jewish/HOLIDAY-EVENTS.htm" class="bg_extension js-parent-menu-link" data-aid="89216"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="2623882" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/section_cdo/aid/4928845/jewish/Garden-of-Mitzvot.htm" class="item hover" id="menu_item3-1" data-menu-level="2" data-aid="4928845">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Garden of Mitzvot</span>
</a>
<a href="/templates/section_cdo/aid/7376417/jewish/Hebrew-School-2026-27.htm" class="item" id="menu_item3-2" data-menu-level="2" data-aid="7376417">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Hebrew School 2026-27</span>
</a>
<a href="http://www.neshamapreschool.com" class="item empty" id="menu_item3-3" data-menu-level="2" data-aid="3550367">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Neshama Preschool</span>
</a>
<a href="/templates/articlecco_cdo/aid/452523/jewish/Neshama-CTeen-Serving-Brighton-Beach.htm" class="item" id="menu_item3-4" data-menu-level="2" data-aid="452523">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Neshama CTeen - Serving Brighton Beach</span>
</a>
<a href="/templates/section_cdo/aid/3722907/jewish/Jewish-Kids-Club.htm" class="item" id="menu_item3-5" data-menu-level="2" data-aid="3722907">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Jewish Kids Club</span>
</a>
<a href="/templates/articlecco_cdo/aid/5304460/jewish/Kids-in-the-Kitchen.htm" class="item empty" id="menu_item3-6" data-menu-level="2" data-aid="5304460">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Kids in the Kitchen</span>
</a>
<a href="/templates/articlecco_cdo/aid/3787860/jewish/Mommy-and-Me.htm" class="item" id="menu_item3-7" data-menu-level="2" data-aid="3787860">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Mommy and Me </span>
</a>
<a href="/kids/default_cdo/jewish/JewishKidsorg.htm" class="item" id="menu_item3-8" data-menu-level="2" data-aid="459281">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Kids-Site</span>
</a>
<a href="/templates/articlecco_cdo/aid/2786541/jewish/Photo-Galleries.htm" class="item" id="menu_item3-9" data-menu-level="2" data-aid="2786541">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Photo Galleries</span>
</a>
<a href="/templates/articlecco_cdo/aid/6781945/jewish/Hamantashen-bake-for-Kids.htm" class="item empty" id="menu_item3-10" data-menu-level="2" data-aid="6781945">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Hamantashen bake for Kids</span>
</a>
<a href="/templates/articlecco_cdo/aid/7107626/jewish/A-Challah-Day-for-Kids.htm" class="item empty" id="menu_item3-11" data-menu-level="2" data-aid="7107626">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>A Challah - Day for Kids!</span>
</a>
<a href="/templates/articlecco_cdo/aid/6436361/jewish/Kids-in-the-Kitchen.htm" class="item empty" id="menu_item3-12" data-menu-level="2" data-aid="6436361">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Kids in the Kitchen</span>
</a>
<a href="/templates/articlecco_cdo/aid/7325384/jewish/Jewish-Kids-Chess-Club.htm" class="item empty" id="menu_item3-13" data-menu-level="2" data-aid="7325384">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Jewish Kids Chess Club</span>
</a>
<a href="/templates/section_cdo/aid/7378410/jewish/JKC-Camp-2026.htm" class="item" id="menu_item3-14" data-menu-level="2" data-aid="7378410">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>JKC Camp 2026</span>
</a>
<a href="/templates/section_cdo/aid/7400246/jewish/Cteen.htm" class="item" id="menu_item3-15" data-menu-level="2" data-aid="7400246">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Cteen</span>
</a>
</div>
<div id="menu_child3-1" class="menu_child selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/4929294/jewish/About.htm" class="child_item default" data-menu-level="3" data-aid="4929294"><span>About</span></a>
<a href="/templates/articlecco_cdo/aid/1701258/jewish/How-it-Works.htm" class="child_item default" data-menu-level="3" data-aid="1701258"><span>How it Works</span></a>
<a href="/templates/articlecco_cdo/aid/4475365/jewish/Register.htm" class="child_item default" data-menu-level="3" data-aid="4475365"><span>Register</span></a>
<a href="/templates/articlecco_cdo/aid/4475347/jewish/Prizes.htm" class="child_item default" data-menu-level="3" data-aid="4475347"><span>Prizes</span></a>
<a href="/templates/articlecco_cdo/aid/4929496/jewish/Contact.htm" class="child_item default" data-menu-level="3" data-aid="4929496"><span>Contact</span></a>
<a href="/templates/articlecco_cdo/aid/4929280/jewish/Donate.htm" class="child_item default" data-menu-level="3" data-aid="4929280"><span>Donate</span></a>
<a href="/templates/photogallery_cdo/aid/4929429/jewish/Gallery.htm" class="child_item default" data-menu-level="3" data-aid="4929429"><span>Gallery</span></a>
<a href="/templates/articlecco_cdo/aid/4929408/jewish/In-House.htm" class="child_item default" data-menu-level="3" data-aid="4929408"><span>In House</span></a>
<a href="/templates/articlecco_cdo/aid/1666163/jewish/A-Taste-of-Shabbos.htm" class="child_item default" data-menu-level="3" data-aid="1666163"><span>A Taste of Shabbos</span></a>
<a href="/templates/articlecco_cdo/aid/2375308/jewish/Shabbat-to-Go.htm" class="child_item default" data-menu-level="3" data-aid="2375308"><span>Shabbat to Go</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-2" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/1290035/jewish/About-Us.htm" class="child_item default" data-menu-level="3" data-aid="1290035"><span>About Us</span></a>
<a href="/templates/articlecco_cdo/aid/1290036/jewish/Calendar-Curriculum.htm" class="child_item default" data-menu-level="3" data-aid="1290036"><span>Calendar & Curriculum</span></a>
<a href="/templates/articlecco_cdo/aid/2772308/jewish/Register.htm" class="child_item default" data-menu-level="3" data-aid="2772308"><span>Register</span></a>
<a href="/templates/articlecco_cdo/aid/2743796/jewish/Photos.htm" class="child_item default" data-menu-level="3" data-aid="2743796"><span>Photos</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-3" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-4" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/1044116/jewish/About-Us.htm" class="child_item default" data-menu-level="3" data-aid="1044116"><span>About Us</span></a>
<a href="/templates/articlecco_cdo/aid/4122200/jewish/CTeen-Registration.htm" class="child_item default" data-menu-level="3" data-aid="4122200"><span>CTeen Registration</span></a>
<a href="/templates/articlecco_cdo/aid/4122196/jewish/Contact-Us.htm" class="child_item default" data-menu-level="3" data-aid="4122196"><span>Contact Us</span></a>
<a href="/templates/photogallery_cdo/aid/1044110/jewish/Photos.htm" class="child_item default" data-menu-level="3" data-aid="1044110"><span>Photos</span></a>
<a href="/templates/articlecco_cdo/aid/5712363/jewish/CTeen-Jr-Registration.htm" class="child_item default" data-menu-level="3" data-aid="5712363"><span>CTeen Jr. Registration</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-5" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/3722914/jewish/ABOUT.htm" class="child_item default" data-menu-level="3" data-aid="3722914"><span>ABOUT</span></a>
<a href="/templates/articlecco_cdo/aid/3722916/jewish/CURRICULUM.htm" class="child_item default" data-menu-level="3" data-aid="3722916"><span>CURRICULUM</span></a>
<a href="/templates/articlecco_cdo/aid/3722917/jewish/REGISTRATION.htm" class="child_item default" data-menu-level="3" data-aid="3722917"><span>REGISTRATION</span></a>
<a href="/templates/articlecco_cdo/aid/3722941/jewish/CONTACT.htm" class="child_item default" data-menu-level="3" data-aid="3722941"><span>CONTACT</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-6" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-7" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/2315726/jewish/Mommy-Me-Photo-Galleries.htm" class="child_item default" data-menu-level="3" data-aid="2315726"><span>Mommy & Me Photo Galleries</span></a>
<a href="/templates/articlecco_cdo/aid/5099019/jewish/Mommy-and-Me-Challah-Baking.htm" class="child_item default" data-menu-level="3" data-aid="5099019"><span>Mommy and Me Challah Baking</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-8" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/kids/article_cdo/aid/1070660/jewish/Childrens-Videos.htm" class="child_item default" data-menu-level="3" data-aid="1070660"><span>Children's Videos</span></a>
<a href="/kids/article_cdo/aid/354787/jewish/Games.htm" class="child_item default" data-menu-level="3" data-aid="354787"><span>Games</span></a>
<a href="/kids/article_cdo/aid/354742/jewish/Holidays.htm" class="child_item default" data-menu-level="3" data-aid="354742"><span>Holidays</span></a>
<a href="/kids/article_cdo/aid/354767/jewish/Fun-Stuff.htm" class="child_item default" data-menu-level="3" data-aid="354767"><span>Fun Stuff</span></a>
<a href="/kids/article_cdo/aid/354788/jewish/Story-Time.htm" class="child_item default" data-menu-level="3" data-aid="354788"><span>Story Time</span></a>
<a href="/kids/article_cdo/aid/1070677/jewish/Jewish-Music.htm" class="child_item default" data-menu-level="3" data-aid="1070677"><span>Jewish Music</span></a>
<a href="/kids/article_cdo/aid/354791/jewish/Features.htm" class="child_item default" data-menu-level="3" data-aid="354791"><span>Features</span></a>
<a href="/kids/article_cdo/aid/354741/jewish/Tzivos-Hashem-Club.htm" class="child_item default" data-menu-level="3" data-aid="354741"><span>Tzivos Hashem Club</span></a>
<a href="/article.asp?aid=6339788" class="child_item default" data-menu-level="3" data-aid="6339788"><span>Coloring Sheets</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-9" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/photogallery_cdo/aid/2783258/jewish/Mother-Daughter-Culinary.htm" class="child_item link" data-menu-level="3" data-aid="2786542"><span>Mother Daughter Culinary</span></a>
<a href="/templates/photogallery_cdo/aid/4216979/jewish/Pre-Chanukah-Kids-Culinary-Pics.htm" class="child_item default" data-menu-level="3" data-aid="4216979"><span>Pre-Chanukah Kids Culinary Pics</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-10" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-11" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-12" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-13" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-14" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/7325618/jewish/JKC-CAMP-2026-Registration.htm" class="child_item default" data-menu-level="3" data-aid="7325618"><span>JKC CAMP 2026 Registration</span></a>
<a href="/templates/articlecco_cdo/aid/6308783/jewish/Dates-Rates.htm" class="child_item default" data-menu-level="3" data-aid="6308783"><span>Dates & Rates</span></a>
<a href="/templates/articlecco_cdo/aid/6308811/jewish/Location.htm" class="child_item default" data-menu-level="3" data-aid="6308811"><span>Location</span></a>
<a href="/templates/articlecco_cdo/aid/6308818/jewish/Staff.htm" class="child_item default" data-menu-level="3" data-aid="6308818"><span>Staff</span></a>
<a href="/templates/articlecco_cdo/aid/6308831/jewish/Gallery.htm" class="child_item default" data-menu-level="3" data-aid="6308831"><span>Gallery</span></a>
<a href="/templates/articlecco_cdo/aid/6343425/jewish/Contact.htm" class="child_item default" data-menu-level="3" data-aid="6343425"><span>Contact</span></a>
<a href="/templates/articlecco_cdo/aid/6484935/jewish/Payment.htm" class="child_item default" data-menu-level="3" data-aid="6484935"><span>Payment</span></a>
<a href="/templates/articlecco_cdo/aid/7393796/jewish/Sunday-Funday-Open-House-RSVP.htm" class="child_item default" data-menu-level="3" data-aid="7393796"><span>Sunday Funday Open House RSVP</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child3-15" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="https://cteen.com/events" class="child_item default" data-menu-level="3" data-aid="7400247"><span>Events</span></a>
<a href="/templates/articlecco_cdo/aid/7400248/jewish/Join.htm" class="child_item default" data-menu-level="3" data-aid="7400248"><span>Join</span></a>
<a href="https://shop.cteen.com" class="child_item default" data-menu-level="3" data-aid="7400249"><span>Shop</span></a>
<a href="/donate" class="child_item default" data-menu-level="3" data-aid="7400250"><span>Donate</span></a>
<a href="/templates/articlecco_cdo/aid/7400251/jewish/Leadership.htm" class="child_item default" data-menu-level="3" data-aid="7400251"><span>Leadership </span></a>
<a href="/templates/articlecco_cdo/aid/7400264/jewish/Untitled.htm" class="child_item default" data-menu-level="3" data-aid="7400264"><span>Untitled</span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/2623882/jewish/YOUTH-TEENS.htm" class="parent">YOUTH&nbsp;&<br />TEENS</a></div></span><a href="/templates/articlecco_cdo/aid/2623882/jewish/YOUTH-TEENS.htm" class="bg_extension js-parent-menu-link" data-aid="2623882"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="2623886" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/section_cdo/aid/2363154/jewish/Adult-Education.htm" class="item hover" id="menu_item4-1" data-menu-level="2" data-aid="2363154">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Adult Education</span>
</a>
<a href="/templates/articlecco_cdo/aid/452520/jewish/Jewish-Milestones.htm" class="item" id="menu_item4-2" data-menu-level="2" data-aid="452520">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Jewish Milestones</span>
</a>
<a href="/templates/articlecco_cdo/aid/2639081/jewish/ONLINE-STUDY.htm" class="item" id="menu_item4-3" data-menu-level="2" data-aid="2639081">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>ONLINE STUDY</span>
</a>
<a href="/templates/articlecco_cdo/aid/5399450/jewish/Chabad-Neshama-Business-Network.htm" class="item empty" id="menu_item4-4" data-menu-level="2" data-aid="5399450">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Chabad Neshama Business Network</span>
</a>
<a href="/templates/articlecco_cdo/aid/5519993/jewish/Chabad-Young-Professionals.htm" class="item empty" id="menu_item4-5" data-menu-level="2" data-aid="5519993">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Chabad Young Professionals</span>
</a>
<a href="/templates/articlecco_cdo/aid/7410233/jewish/Mega-Business-Networking-Event.htm" class="item empty" id="menu_item4-6" data-menu-level="2" data-aid="7410233">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>Mega Business Networking Event</span>
</a>
<a href="/templates/articlecco_cdo/aid/1622093/jewish/WOMENS-CIRCLE.htm" class="item" id="menu_item4-7" data-menu-level="2" data-aid="1622093">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>WOMEN'S CIRCLE</span>
</a>
</div>
<div id="menu_child4-1" class="menu_child selected" style="width:349px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/2363155/jewish/JLI-Upcoming-Courses.htm" class="child_item default" data-menu-level="3" data-aid="2363155"><span>JLI Upcoming Courses</span></a>
<a href="/templates/articlecco_cdo/aid/2363156/jewish/Photos.htm" class="child_item default" data-menu-level="3" data-aid="2363156"><span>Photos</span></a>
<a href="/templates/articlecco_cdo/aid/2363158/jewish/Online-Study.htm" class="child_item link" data-menu-level="3" data-aid="2363158"><span>Online Study</span></a>
<a href="http://www.torahcafe.com/" class="child_item default" data-menu-level="3" data-aid="2363222"><span>Torah Cafe</span></a>
<a href="/templates/articlecco_cdo/aid/4175261/jewish/Kabbalah-of-Life.htm" class="child_item default" data-menu-level="3" data-aid="4175261"><span>Kabbalah of Life</span></a>
</div></td>
<td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child4-2" class="menu_child" style="width:349px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/111577/jewish/Jewish-Wedding-Chupa.htm" class="child_item default" data-menu-level="3" data-aid="111577"><span>Jewish Wedding - Chupa</span></a>
<a href="/templates/articlecco_cdo/aid/89733/jewish/Kaddish-Services.htm" class="child_item default" data-menu-level="3" data-aid="89733"><span>Kaddish Services</span></a>
<a href="/templates/articlecco_cdo/aid/177827/jewish/Family-Sanctity-Mikvah.htm" class="child_item link" data-menu-level="3" data-aid="459363"><span>Family Sanctity - Mikvah</span></a>
</div></td>
<td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child4-3" class="menu_child" style="width:349px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/magazine/default_cdo/aid/9179/jewish/Magazine.htm" class="child_item link" data-menu-level="3" data-aid="2623926"><span>Magazine</span></a>
<a href="/parshah/default_cdo/aid/6232/jewish/Torah-Portion.htm" class="child_item link" data-menu-level="3" data-aid="2639082"><span>Parshah (Weekly Torah)</span></a>
<a href="/calendar/view/month_cdo/jewish/Jewish-Calendar.htm" class="child_item link" data-menu-level="3" data-aid="2639083"><span>Jewish Calendar</span></a>
<a href="/holidays/default_cdo/jewish/Jewish-Holidays.htm" class="child_item link" data-menu-level="3" data-aid="2639085"><span>Jewish Holidays</span></a>
<a href="/society/default_cdo/aid/132514/jewish/Community-Family.htm" class="child_item link" data-menu-level="3" data-aid="2639086"><span>Community & Family</span></a>
<a href="/library/article_cdo/aid/325184/jewish/Mitzvahs-Traditions.htm" class="child_item link" data-menu-level="3" data-aid="2639088"><span>Mitzvahs & Traditions</span></a>
<a href="/library/article_cdo/aid/325186/jewish/Lifecycle-Events.htm" class="child_item link" data-menu-level="3" data-aid="2639089"><span>Lifecycle Events</span></a>
<a href="/library/article_cdo/aid/109866/jewish/Essentials.htm" class="child_item link" data-menu-level="3" data-aid="2639090"><span>Essentials</span></a>
<a href="/library/article_cdo/aid/109853/jewish/Chassidic-Thought.htm" class="child_item link" data-menu-level="3" data-aid="2639091"><span>Chassidic Thought</span></a>
<a href="/theJewishWoman/default_cdo/jewish/The-Jewish-Woman.htm" class="child_item link" data-menu-level="3" data-aid="2639092"><span>The Jewish Woman</span></a>
</div></td>
<td class="co_column"><div class="column_left_wrapper">
<a href="/kids/default_cdo/jewish/JewishKidsorg.htm" class="child_item link" data-menu-level="3" data-aid="2639094"><span>JewishKids.org</span></a>
<a href="/multimedia/default_cdo/aid/6230/jewish/Audio-Classes.htm" class="child_item link" data-menu-level="3" data-aid="2639095"><span>Audio Classes</span></a>
<a href="/multimedia/default_cdo/aid/591213/jewish/Jewishtv.htm" class="child_item link" data-menu-level="3" data-aid="2639096"><span>Jewish.tv</span></a>
<a href="/library/article_cdo/aid/76131/jewish/Texts-Writings.htm" class="child_item link" data-menu-level="3" data-aid="2639097"><span>Texts & Writings</span></a>
<a href="/search/default_cdo/search/1/aid/67250/jewish/Knowledge-Base.htm" class="child_item link" data-menu-level="3" data-aid="2639098"><span>Knowledge Base</span></a>
<a href="/centers/default_cdo/jewish/Chabad-Centers-and-Synagogue-Directory.htm" class="child_item link" data-menu-level="3" data-aid="2639100"><span>Chabad-Lubavitch Directory</span></a>
<a href="/therebbe/default_cdo/jewish/The-Rebbe.htm" class="child_item link" data-menu-level="3" data-aid="2639102"><span>TheRebbe.org</span></a>
<a href="/news/default_cdo/jewish/Jewish-News.htm" class="child_item link" data-menu-level="3" data-aid="2639103"><span>Jewish News</span></a>
<a href="/library/article_cdo/aid/577994/jewish/Online-Jewish-Resources.htm" class="child_item link" data-menu-level="3" data-aid="2639104"><span>Online Jewish Resources</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child4-4" class="menu_child empty" style="width:349px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child4-5" class="menu_child empty" style="width:349px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child4-6" class="menu_child empty" style="width:349px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
<td class="co_column"></td>
</tr>
</table>
</div>
<div id="menu_child4-7" class="menu_child" style="width:349px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/section_cdo/aid/7446050/jewish/Women-Wisdom.htm" class="child_item default" data-menu-level="3" data-aid="7446050"><span>Women & Wisdom</span></a>
<a href="/templates/articlecco_cdo/aid/6217774/jewish/Challah-Bake-Song-for-Israel.htm" class="child_item default" data-menu-level="3" data-aid="6217774"><span>Challah Bake & Song for Israel!</span></a>
<a href="/templates/articlecco_cdo/aid/2767143/jewish/Photos-of-Past-Events.htm" class="child_item default" data-menu-level="3" data-aid="2767143"><span>Photos of Past Events</span></a>
<a href="/templates/articlecco_cdo/aid/2167246/jewish/MJN.htm" class="child_item default" data-menu-level="3" data-aid="2167246"><span>MJN</span></a>
<a href="/templates/articlecco_cdo/aid/1622094/jewish/A-Taste-of-Shabbos.htm" class="child_item default" data-menu-level="3" data-aid="1622094"><span>A Taste of Shabbos</span></a>
<a href="/templates/articlecco_cdo/aid/4045835/jewish/Rebbetzin-Esther-Winners-Birthday.htm" class="child_item default" data-menu-level="3" data-aid="4045835"><span>Rebbetzin Esther Winner's Birthday</span></a>
<a href="/templates/articlecco_cdo/aid/6561067/jewish/CWC-Sweet-Round-ChallahBake.htm" class="child_item default" data-menu-level="3" data-aid="6561067"><span>CWC Sweet & Round Challah Bake</span></a>
<a href="/templates/articlecco_cdo/aid/7023297/jewish/Chabad-Womens-Club-Sweet-Round-Challah-Bake.htm" class="child_item default" data-menu-level="3" data-aid="7023297"><span>Chabad Womens' Club - Sweet Round Challah Bake</span></a>
<a href="/templates/articlecco_cdo/aid/5705056/jewish/Women-and-Wisdom.htm" class="child_item default" data-menu-level="3" data-aid="5705056"><span>Women and Wisdom</span></a>
</div></td>
<td class="co_column"></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="/templates/articlecco_cdo/aid/2623886/jewish/ADULT-PROGRAMS.htm" class="parent">ADULT<br />PROGRAMS</a></div></span><a href="/templates/articlecco_cdo/aid/2623886/jewish/ADULT-PROGRAMS.htm" class="bg_extension js-parent-menu-link" data-aid="2623886"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item arrow multi_level" aid="4925871" data-menu-level="1" onmouseover='Co.MainNavigation.Show(event, this);' onmouseout='Co.MainNavigation.Hide(event, this);' >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
<div class="co_column">
<a href="/templates/articlecco_cdo/aid/2230901/jewish/DONATE.htm" class="item empty" id="menu_item5-1" data-menu-level="2" data-aid="2230901">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>DONATE</span>
</a>
<a href="/templates/section_cdo/aid/4072303/jewish/Planned-Giving.htm" class="item" id="menu_item5-2" data-menu-level="2" data-aid="4072303">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Planned Giving</span>
</a>
<a href="/templates/articlecco_cdo/aid/6541623/jewish/Jewish-Calendar-5787.htm" class="item" id="menu_item5-3" data-menu-level="2" data-aid="6541623">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow" />
<span>Jewish Calendar 5787</span>
</a>
<a href="/templates/articlecco_cdo/aid/6259800/jewish/HS-Donate-form-new.htm" class="item empty" id="menu_item5-4" data-menu-level="2" data-aid="6259800">
<img src="https://w2.chabad.org/images/global/spacer.gif" width="5" height="10" alt="" border="0" class="arrow off" />
<span>HS Donate form new</span>
</a>
</div>
<div id="menu_child5-1" class="menu_child empty selected" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child5-2" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/4072305/jewish/Changing-Jewish-Destiny.htm" class="child_item default" data-menu-level="3" data-aid="4072304"><span>Why Giving Matters</span></a>
<a href="/templates/articlecco_cdo/aid/4072318/jewish/Bequest.htm" class="child_item default" data-menu-level="3" data-aid="4072317"><span>Ways To Give</span></a>
<a href="/templates/articlecco_cdo/aid/4072327/jewish/Jewish-Legacy-Society.htm" class="child_item default" data-menu-level="3" data-aid="4072326"><span>Gratitude</span></a>
<a href="/templates/articlecco_cdo/aid/4072331/jewish/Bequest-Form.htm" class="child_item default" data-menu-level="3" data-aid="4072330"><span>Resources</span></a>
<a href="/templates/articlecco_cdo/aid/4072337/jewish/Contact-Us.htm" class="child_item default" data-menu-level="3" data-aid="4072336"><span>Contact</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child5-3" class="menu_child" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="/templates/articlecco_cdo/aid/6541680/jewish/Calendar-Samples.htm" class="child_item default" data-menu-level="3" data-aid="6541680"><span>Calendar Samples</span></a>
<a href="/templates/articlecco_cdo/aid/6541686/jewish/Calendar-Ads.htm" class="child_item default" data-menu-level="3" data-aid="6541686"><span>Calendar Ads</span></a>
</div></td>
</tr>
</table>
</div>
<div id="menu_child5-4" class="menu_child empty" style="width:174px;">
<table cellpadding="0" cellspacing="0" border="0" style="height:100%;">
<tr class="wrapper clearfix">
<td class="co_column"><div class="column_left_wrapper">
<a href="" class="child_item default" data-menu-level="3" data-aid="0"><span></span></a>
</div></td>
</tr>
</table>
</div>
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><img src="https://w2.chabad.org/images/global/spacer.gif" width="12" height="6" border="0" vspace="2" /><div><a href="https://www.chabadneshama.com/templates/articlecco_cdo/aid/2230901/jewish/DONATE.htm" class="parent">DONATE</a></div></span><a href="https://www.chabadneshama.com/templates/articlecco_cdo/aid/2230901/jewish/DONATE.htm" class="bg_extension js-parent-menu-link" data-aid="4925871"></a></td>
<td class="co_menu_item_divider"><img src="https://w2.chabad.org/images/global/spacer.gif" width="2" height="1" border="0" /></td>
<td class="co_menu_item" aid="6148972" data-menu-level="1" onmouseover="this.className += ' hover';" onmouseout="this.className = this.className.replace(/\shover/gi, '');" >
<div class="co_menu_content"><div class="co_submenu_container" style="width:auto;display:none;clip:rect(auto auto 0px auto);">
<div class="wrapper">
<div class="column_wrapper clearfix" style="height:100%;">
</div>
<div class="break_floats"></div></div></div></div><span class="parent"><div><a href="/templates/articlecco_cdo/aid/6148972/jewish/Fundraiser-dinner-for-Israel.htm" class="parent">Fundraiser&nbsp;dinner<br />for&nbsp;Israel</a></div></span><a href="/templates/articlecco_cdo/aid/6148972/jewish/Fundraiser-dinner-for-Israel.htm" class="bg_extension js-parent-menu-link" data-aid="6148972"></a></td>
</tr>
</table>
</div>
</div>
<!-- END CACHE -->
				<div class="mobile-menu-bottom-links">
					
						<a href="/2623911" class="site-menu-general__link">About</a>
					
					<a href="/search">Search</a>
					
						<a href="/tools/feedback.asp">Contact</a>
					
				</div>
			</div>
		</div>
	</div>
	<div id="content">
		<div id="BodyContainer" class="wrapper">
			<div class="body_wrapper  no-hero-image clearfix">
				
	<div class="co_content_container clearfix local_content" id="co_content_container">
		<div class="clearfix">
			<!-- BEGIN HEADER --><style type="text/css">#chabad_body_page {
    TEXT-ALIGN: center; 
}
DIV#chabad_main_content {
    OVERFLOW: hidden; WIDTH: 750px; TEXT-ALIGN: left; MARGIN-LEFT: auto; MARGIN-RIGHT: auto
}
#chabad_body_content {
    WIDTH: 750x; TEXT-ALIGN: left
}
DIV#chabad_head .chabad_header {
    BORDER-TOP: medium none; BORDER-RIGHT: medium none; BORDER-BOTTOM: medium none; BORDER-LEFT: medium none; BACKGROUND-COLOR: #ffffff
}
#pagetitle {
    MARGIN-BOTTOM: 15px; COLOR: #b83d59; PADDING-TOP: 15px; important: Arial
}
#cco_body {
    PADDING-LEFT: 15px; PADDING-RIGHT: 15px
}
DIV#chabad_head .chabad_navigator_bar {
    BORDER-TOP: medium none; HEIGHT: 39px; BORDER-RIGHT: medium none; WIDTH: 750px; BORDER-BOTTOM: medium none; FLOAT: left; BORDER-LEFT: medium none; MARGIN-TOP: auto; BACKGROUND-COLOR: #0e99c4
}
DIV#chabad_head .chabad_navigator_bar .chabad_menu_content {
    WIDTH: 750px; FLOAT: left;  BACKGROUND-COLOR: #0e99c4;
}
DIV#chabad_head .chabad_navigator_bar UL {
    PADDING-BOTTOM: 0px; PADDING-TOP: 0px; PADDING-LEFT: 10px; MARGIN: 0px; PADDING-RIGHT: 0px
}
DIV#chabad_head .chabad_navigator_bar UL LI {
    HEIGHT: 37px; POSITION: relative; FLOAT: left; COLOR: #ffffff; PADDING-TOP: 10px; Z-INDEX: 1; DISPLAY: block
}
DIV#chabad_head .chabad_navigator_bar UL LI .sub_menu {
    WIDTH: 230px; BACKGROUND: #0e99c4 0px 0px; MIN-WIDTH: 122px; POSITION: absolute; LEFT: 0px; DISPLAY: none; TOP: 37px
}
DIV#chabad_head .chabad_navigator_bar UL LI.active .sub_menu {
    DISPLAY: block
}
DIV#chabad_head .chabad_navigator_bar UL LI UL {
    FLOAT: none
}
DIV#chabad_head .chabad_navigator_bar UL LI UL LI {
    HEIGHT: 23px; BORDER-RIGHT: medium none; BORDER-BOTTOM: #0e99c4 1px solid; FLOAT: none; PADDING-TOP: 0px; MIN-HEIGHT: 23px; MARGIN-TOP: 0px
}
DIV#chabad_head .chabad_navigator_bar UL LI UL LI.last {
    BORDER-TOP: medium none; BORDER-RIGHT: medium none; BORDER-BOTTOM: medium none; BORDER-LEFT: medium none
}
DIV#chabad_head .chabad_navigator_bar UL LI UL LI A {
    MARGIN-BOTTOM: -20px; FONT-SIZE: 12px; HEIGHT: auto; WIDTH: 100%; TEXT-TRANSFORM: none; FLOAT: none; FONT-WEIGHT: normal; PADDING-BOTTOM: 0px; PADDING-TOP: 2px; PADDING-LEFT: 5px; DISPLAY: block; PADDING-RIGHT: 5px
}
DIV#chabad_head .chabad_navigator_bar UL LI UL LI A:hover {
    BACKGROUND: none transparent scroll repeat 0% 0%
}
DIV#chabad_head .chabad_navigator_bar UL LI.last {
    BORDER-RIGHT: medium none
}
DIV#chabad_head .chabad_navigator_bar UL LI A {
    FONT-SIZE: 18px; TEXT-DECORATION: none; HEIGHT: 26px; FONT-FAMILY: Arial; TEXT-TRANSFORM: uppercase; FLOAT: left; COLOR: #ffffff; PADDING-TOP: 1px; PADDING-LEFT: 15px; PADDING-RIGHT: 15px
}

DIV#chabad_head .chabad_navigator_bar UL LI.active A.parent {
    COLOR: #ffffff
}
DIV#chabad_head .chabad_navigator_bar UL LI A.selected {
    COLOR: #ffffff
}
DIV#chabad_head .chabad_navigator_bar UL LI A:hover {
    COLOR: #e6f0f3
}
DIV#chabad_head .chabad_navigator_bar UL LI A.first {
    PADDING-LEFT: 0px
}
.chabad_left_column {
    WIDTH: 100%; OVERFLOW-X: hidden; FLOAT: left; MARGIN-TOP: 0px; MARGIN-BOTTOM: 0px; BACKGROUND-COLOR: #ffffff
}
.chabad_right_column {
    WIDTH: 190px; OVERFLOW-X: hidden; FLOAT: right; MARGIN-TOP: 10px; DISPLAY: none
}
#chabad_right_colum {
    WIDTH: 190px; OVERFLOW-X: hidden; FLOAT: right; MARGIN-TOP: 10px; DISPLAY: none
}</style>

<div id="chabad_body_page">
<div id="chabad_main_content">
<div id="chabad_head">


<br/>

<div id="navigation" class="chabad_navigator_bar">
<div class="chabad_menu_content">
<ul id="menu" class="navi">
<li class="item parent">
<a href="/article.asp?aid=3722907" class="parent">Home</a>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=3722914" class="parent arrow">ABOUT</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=3722949">Welcome</a>
</li>
<li class="item">
<a href="/article.asp?aid=3722952">Philosophy</a>
</li>
<li class="item">
<a href="/article.asp?aid=3722953">Location</a>
</li>
<li class="item">
<a href="/article.asp?aid=3722954">Staff</a>
</li>
<li class="item last">
<a href="/article.asp?aid=3799284">Parent handbook</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=3722916" class="parent arrow">CURRICULUM</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=3786825">Daily Activities</a>
</li>
<li class="item last">
<a href="/article.asp?aid=3786826">Weekly Schedule</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=3722917" class="parent arrow">REGISTRATION</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=422132">JKC Registration 2026-2027</a>
</li>
<li class="item">
<a href="/article.asp?aid=4460044">Scholarship Form</a>
</li>
<li class="item last">
<a href="/article.asp?aid=3655210">Career Opportunities</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent">
<a href="/article.asp?aid=3722941" class="parent">CONTACT</a>
</li>

</ul>
</div>
</div>

</div>
<div id="chabad_body_content" class="content_full_width"><div type="static" actions="edit,delete" detached="true" name="content_area" class="chabad_left_column" id="ContentArea"><div id="content_page_full" class="content_page_full"><!-- END HEADER -->
			
			
			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
				<div class="master-content-wrapper " >
					

<header class="article-header cf ">
	
	
			<h1 class="article-header__title js-article-title js-page-title">Returning Student Renewal Form</h1>
		
			<div>
				
			</div>
		
</header>
				</div>
			
			<div class="body_wrapper clearfix co_body">
				<div class="" id="co_body_container">
					
					<div id="ContentBody">
						
						
							<div class="content-area-parent no_margin">
								
	<div id="cco_body">
		<div class="content  no_margin no_overflow" id="co_content_container">
			
			
	

	<article class="content js-content" >
	

<div id="formContainer"><script type="text/javascript">var defaultCurrency = { value: 'USD', symbol: '$'};
$j(function(){
window.multiplier = 0;
window.formJson = Object.extend([{"form_height":555,"1_text":"\u003cp\u003e\u003cspan style=\"font-size: 20px;\"\u003e\u003cstrong\u003e\u003cspan id=\"docs-internal-guid-130ee7c2-7fff-a03f-3115-4ba73d876e96\"\u003e\u003c/span\u003e\u003c/strong\u003e\u003c/span\u003e\u003c/p\u003e\u003cp dir=\"ltr\"\u003e\u003cstrong\u003eWe are pleased to open a new and improved JKC program to suit the needs of public school children in fully virtual or blended learning programs. The program will include remote learning with the help of trained and highly skilled tutors, educational\u0026#160;\u003c/strong\u003e\u003cstrong\u003eactivities, hot lunch, outdoor play, Jewish culture and lots of fun!\u003c/strong\u003e\u003c/p\u003e\u003cp dir=\"ltr\"\u003e\u003cstrong\u003eWe have only 18 spots for September. Register now before we are full!\u0026#160;\u003c/strong\u003e\u003c/p\u003e\u003cp dir=\"ltr\"\u003e\u003cstrong\u003eJKC will be open as of Thurs, Sept. 10 regardless of when public schools will open. From Sept. 10 begins, JKC hours are\u0026#160;\u003c/strong\u003e\u003cb\u003e9am until 2pm. Once school begins in- person or remote learning we will begin the extended care options (8:15-9am and 2-4pm).\u0026#160;\u003c/b\u003e\u003c/p\u003e\u003cp dir=\"ltr\"\u003e\u003cstrong\u003ePlease note that JKC is open for September and October on a trial basis. We will then reassess and make any necessary revisions for November\u0026rsquo;s schedule and rates. Thank you for your understanding.\u003c/strong\u003e\u003c/p\u003e\u003cp\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 14px;\"\u003eAs the pandemic continues, we at JKC will be vigilant to keep the students and staff safe and will be carefully following all CDC guidelines. We will monitor symptoms of COVID-19. We will be practicing social distancing, as developmentally appropriate. We will ensure hygiene (including regular cleaning and disinfecting). We will communicate and train staff, parents, and students related to new expectations. We will ensure isolation in case of symptoms or confirmed cases onsite.\u0026#160; We will maintain required staff to camper ratios in the event of staff illness. We will do everything in our power to keep everyone healthy and safe.\u003c/span\u003e\u003cbr\u003e\u003cbr\u003e\u003c/strong\u003e\u003c/p\u003e\u003cp\u003e\u003cimg src=\"https://w3.chabad.org/media/images/1093/vLjf10934293.jpg\" border=\"0\" align=\"left\" hspace=\"10\" alt=\"\"\u003e\u003cspan style=\"font-family: Arial; font-size: 14px;\"\u003eWe are currently accepting application forms for the 2020-2021 school year. Please fill out ALL fields of this form. If you have any questions or concerns you\u0027d like to discuss with us, please contact us. \u003c/span\u003e\u003cspan style=\"font-family: Arial;\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan style=\"font-family: Arial; font-size: 14px;\"\u003eOne registration form per child is needed.\u003c/span\u003e\u003cspan style=\"font-family: Arial;\"\u003e\u003c/span\u003e\u003c/p\u003e","1_name":"doubleclickTo","1_qid":1,"1_type":"control_text","1_order":1,"3_text":"Student Information","3_subHeader":"","3_headerType":"Small","3_name":"clickTo","3_qid":3,"3_type":"control_head","3_order":2,"4_text":"Full Name","4_message":"","4_labelAlign":"Auto","4_required":"Yes","4_prefix":"No","4_suffix":"No","4_middle":"No","4_description":"","4_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"4_readonly":"No","4_name":"fullName","4_qid":4,"4_type":"control_fullname","4_order":3,"5_text":"Hebrew Name","5_message":"","5_labelAlign":"Auto","5_required":"No","5_size":20,"5_validation":"None","5_maxsize":"","5_inputTextMask":"","5_defaultValue":"","5_subLabel":"","5_hint":" ","5_description":"","5_readonly":"No","5_name":"input5","5_qid":5,"5_type":"control_textbox","5_order":4,"80_text":"School","80_message":"","80_labelAlign":"Auto","80_required":"Yes","80_size":20,"80_validation":"None","80_maxsize":"","80_inputTextMask":"","80_defaultValue":"","80_subLabel":"","80_hint":" ","80_description":"","80_readonly":"No","80_name":"input80","80_qid":80,"80_type":"control_textbox","80_order":5,"8_text":"Grade Entering","8_message":"","8_labelAlign":"Auto","8_required":"Yes","8_options":"Pre-K|Kindergarten|First|Second|Third|Fourth|Fifth|Sixth|Seventh|Eighth","8_special":"None","8_size":0,"8_width":150,"8_selected":"","8_subLabel":"","8_description":"","8_emptyText":"","8_name":"input8","8_qid":8,"8_type":"control_dropdown","8_order":6,"43_text":"What would you like your child to get out of his/ her  2019–2020 JKC experience?","43_message":"","43_labelAlign":"Auto","43_required":"Yes","43_cols":40,"43_rows":6,"43_validation":"None","43_entryLimit":"None-0","43_maxsize":"","43_defaultValue":"","43_subLabel":"","43_hint":"","43_description":"","43_readonly":"No","43_wysiwyg":"Disable","43_name":"input43","43_qid":43,"43_type":"control_textarea","43_order":7,"44_text":"We always look to make the Jewish Kids Club an after-school that truly serves YOUR family. In what area(s) would you like to see the most growth or improvement within JKC for the coming year?","44_message":"","44_labelAlign":"Auto","44_required":"No","44_cols":40,"44_rows":6,"44_validation":"None","44_entryLimit":"None-0","44_maxsize":"","44_defaultValue":"","44_subLabel":"","44_hint":"","44_description":"","44_readonly":"No","44_wysiwyg":"Disable","44_name":"input44","44_qid":44,"44_type":"control_textarea","44_order":8,"45_text":"Are there any updates on your child’s allergies or any medical concerns we should be aware about? If so, please list any concerns you have or special considerations you would like to incorporate for your child in order to accommodate them in the best manner possible.","45_message":"","45_labelAlign":"Auto","45_required":"No","45_cols":40,"45_rows":6,"45_validation":"None","45_entryLimit":"None-0","45_maxsize":"","45_defaultValue":"","45_subLabel":"","45_hint":"","45_description":"","45_readonly":"No","45_wysiwyg":"Disable","45_name":"input45","45_qid":45,"45_type":"control_textarea","45_order":9,"62_text":"Tuition Agreement","62_subHeader":"","62_headerType":"Default","62_name":"clickTo62","62_qid":62,"62_type":"control_head","62_order":10,"63_text":"\u003cp\u003e\u003cspan id=\"docs-internal-guid-51c9d2ae-7fff-1873-beeb-3e5d00456bee\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp dir=\"ltr\"\u003e9:00am-2:00pm regular jkc hours\u0026#160;\u003c/p\u003e\u003cp dir=\"ltr\"\u003e2:00pm- 4:00pm extended care\u0026#160;\u003cbr\u003e\u003cbr\u003eMonthly tuition rate for regular jkc hours 9am-2pm:\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$700 for 5 days a week\u0026#160;\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$620 for 4 days a week\u0026#160;\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$575 for 3 days a week\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$450 for 2 days a week\u0026#160;\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$400 for 1 day a week\u003c/p\u003e","63_name":"doubleclickTo63","63_qid":63,"63_type":"control_text","63_order":11,"64_text":"My child will be joining regular JKC hours only on:","64_message":"","64_labelAlign":"Auto","64_required":"Yes","64_options":"Monday|Tuesday|Wednesday|Thursday|Friday","64_special":"None","64_allowOther":"No","64_otherText":"Other","64_spreadCols":"1","64_selected":"","64_minSelection":"","64_maxSelection":"","64_description":"","64_name":"input64","64_qid":64,"64_type":"control_checkbox","64_order":12,"81_text":"Special selection for regular JKC hours: $600 per month - My child will be in blended learning and is in cohort (check one)","81_message":"","81_labelAlign":"Auto","81_required":"No","81_options":"Group A|Group B|Group C|and will be attending on all days that my child is not in school. (3 or 4 days a week)","81_special":"None","81_allowOther":"No","81_otherText":"Other","81_spreadCols":"1","81_selected":"","81_minSelection":"","81_maxSelection":"","81_description":"","81_name":"input81","81_qid":81,"81_type":"control_checkbox","81_order":13,"82_text":"\u003cp\u003e\u003cspan id=\"docs-internal-guid-51c9d2ae-7fff-1873-beeb-3e5d00456bee\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp\u003e\u003cspan id=\"docs-internal-guid-0935c267-7fff-0a6e-6f31-f316e919bd91\"\u003e\u003c/span\u003e\u003c/p\u003e\u003cp dir=\"ltr\"\u003eMonthly tuition rates for extended care hours 2-4pm:\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$250 for 5 days a week\u0026#160;\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$220 for 4 days a week\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$190 for 3 days a week\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$175 for 2 days a week\u003c/p\u003e\u003cp dir=\"ltr\"\u003e$150 for 1 day a week\u003c/p\u003e","82_name":"doubleclickTo82","82_qid":82,"82_type":"control_text","82_order":14,"83_text":"Please circle one:","83_message":"","83_labelAlign":"Auto","83_required":"No","83_options":"My child will need to be picked up from school for extended care hours. (If NOT in PS100 please include additional $100 fee for transportation.)|My child will only be joining extended care hours on days that he/she is already at JKC for regular hours.|My child will be dropped off at JKC for extended care hours.","83_special":"None","83_allowOther":"No","83_otherText":"Other","83_spreadCols":"1","83_selected":"","83_minSelection":"","83_maxSelection":"","83_description":"","83_name":"input83","83_qid":83,"83_type":"control_checkbox","83_order":15,"84_text":"Please select which days of the week your child will be joining extended care hours:","84_message":"","84_labelAlign":"Auto","84_required":"No","84_options":"Monday|Tuesday|Wednesday|Thursday|Friday","84_special":"None","84_allowOther":"No","84_otherText":"Other","84_spreadCols":"1","84_selected":"","84_minSelection":"","84_maxSelection":"","84_description":"","84_name":"input84","84_qid":84,"84_type":"control_checkbox","84_order":16,"85_text":"Special selection for extended hours: $210 per month  - My child will be in blended learning and is in cohort (check one)","85_message":"","85_labelAlign":"Auto","85_required":"No","85_options":"Group A|Group B|Group C|and will be attending on all days that my child is not in school. (3 or 4 days a week)","85_special":"None","85_allowOther":"No","85_otherText":"Other","85_spreadCols":"1","85_selected":"","85_minSelection":"","85_maxSelection":"","85_description":"","85_name":"input85","85_qid":85,"85_type":"control_checkbox","85_order":17,"86_text":"Early care 8:15-9:00am:","86_message":"","86_labelAlign":"Auto","86_required":"No","86_options":"$75 per month","86_special":"None","86_allowOther":"No","86_otherText":"Other","86_spreadCols":"1","86_selected":"","86_minSelection":"","86_maxSelection":"","86_description":"","86_name":"input86","86_qid":86,"86_type":"control_checkbox","86_order":18,"65_text":"\u003cp\u003eFor questions, comments or discounted rates, contact us at  \u003ca href=\"mailto:jkcafterschool@gmail.com\"\u003ejkcafterschool@gmail.com\u003c/a\u003e.\u003c/p\u003e","65_name":"doubleclickTo65","65_qid":65,"65_type":"control_text","65_order":19,"66_text":"Payment options: (Please check off one.)","66_message":"","66_labelAlign":"Auto","66_required":"Yes","66_options":"Pay by check on the first day of each month.|Pay online now and we will charge the same card on the first day of every month.      (You’ll be charged a small fee for credit card processing.)","66_special":"None","66_allowOther":"No","66_otherText":"Other","66_selected":"","66_spreadCols":"1","66_description":"","66_name":"input66","66_qid":66,"66_type":"control_radio","66_order":20,"67_text":"Enter promo code:","67_message":"","67_labelAlign":"Auto","67_required":"No","67_size":20,"67_validation":"None","67_maxsize":"","67_inputTextMask":"","67_defaultValue":"","67_subLabel":"","67_hint":" ","67_description":"","67_readonly":"No","67_name":"input67","67_qid":67,"67_type":"control_textbox","67_order":21,"68_text":"\u003cp\u003e\u003cstrong\u003eIn order to complete your child\u0027s registration:\u003c/strong\u003e\u003c/p\u003e\u003cp\u003e- submit full payment for (at least) September\u003c/p\u003e\u003cp\u003e- email updated health form to  \u003ca href=\"mailto:jkcafterschool@gmail.com\"\u003ejkcafterschool@gmail.com \u003c/a\u003e\u003c/p\u003e\u003cp\u003e- wait for confirmation that your child is accepted\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eIf you have any questions or concerns, feel free to contact us: \u003c/strong\u003e\u003cbr\u003e718-764-3544 \u0026bull;\u0026#160;\u003ca href=\"mailto:jkcafterschool@gmail.com\"\u003eJKCafterschool@gmail.com\u003c/a\u003e\u0026#160;\u0026bull;\u0026#160;\u003ca href=\"mailto:LeahWinner@gmail.com\"\u003eLeahWinner@gmail.com\u003c/a\u003e\u003c/p\u003e","68_name":"doubleclickTo68","68_qid":68,"68_type":"control_text","68_order":22,"69_text":"Commitment","69_message":"","69_labelAlign":"Auto","69_required":"Yes","69_options":"I understand that by submitting this form I am committing to pay the above outlined tuition fees.","69_special":"None","69_allowOther":"No","69_otherText":"Other","69_spreadCols":"1","69_selected":"","69_minSelection":"","69_maxSelection":"","69_description":"","69_name":"input69","69_qid":69,"69_type":"control_checkbox","69_order":23,"78_text":"Name","78_message":"","78_labelAlign":"Auto","78_required":"Yes","78_prefix":"No","78_suffix":"No","78_middle":"No","78_description":"","78_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"78_readonly":"No","78_name":"fullName78","78_qid":78,"78_type":"control_fullname","78_order":24,"71_text":"Initials","71_message":"","71_labelAlign":"Auto","71_required":"Yes","71_size":20,"71_validation":"None","71_maxsize":"","71_inputTextMask":"","71_defaultValue":"","71_subLabel":"","71_hint":" ","71_description":"","71_readonly":"No","71_name":"input71","71_qid":71,"71_type":"control_textbox","71_order":25,"79_text":"Date","79_message":"","79_labelAlign":"Auto","79_required":"Yes","79_format":"mmddyyyy","79_yearFrom":"","79_yearTo":"","79_months":[[],[],[],[],[],[],[],[],[],[],[],[]],"79_description":"","79_sublabels":{"month":"Month","day":"Day","year":"Year"},"79_name":"birthDate79","79_qid":79,"79_type":"control_birthdate","79_order":26,"73_text":"Secure Online Payment","73_subHeader":"","73_headerType":"Small","73_name":"clickTo73","73_qid":73,"73_type":"control_head","73_order":27,"74_text":"Payment","74_message":"","74_labelAlign":"Auto","74_required":"No","74_duplicatable":false,"74_selectedCountry":"","74_description":"","74_sublabels":{"cc_firstName":"First Name","cc_lastName":"Last Name","cc_type":"Credit Card Type","cc_number":"Credit Card Number","cc_ccv":"Security Code","cc_nameOnCard":"Name on Card","cc_IdNumber":"Israel Identity Number","cc_exp_month":"Expiration Month","cc_exp_year":"Expiration Year","eCheck_bankName":"Bank Name","eCheck_routingNumber":"Routing Number","eCheck_accountNumber":"Account Number","eCheck_accountType":"Account Type","addr_line1":"Street Address","addr_line2":"Street Address Line 2","city":"City","state":"State / Province","postal":"Postal / Zip Code","country":"Country"},"74_name":"payment","74_qid":74,"74_type":"control_payform","74_order":28,"74_options":{"currency":"default","creditCard":{"value":"Credit Card","enabled":true,"fields":[{"name":"ccv","value":"CCV","enabled":true},{"name":"nameOnCard","value":"Name on Card","enabled":true},{"name":"billingAddress","value":"Billing Address","enabled":true},{"name":"israelIdentityNumber","value":"Israel Identity Number","enabled":true}],"processorIndex":0,"type":[{"name":"Visa","value":"Visa","enabled":true},{"name":"Mastercard","value":"MasterCard","enabled":true},{"name":"Amex","value":"American Express","enabled":true},{"name":"Discover","value":"Discover","enabled":true},{"name":"Isracard","value":"Isracard","enabled":false}],"payMe":false},"paypal":{"value":"Paypal","enabled":false,"processorIndex":1},"eCheck":{"value":"eCheck","enabled":false},"other":{"value":"Other","enabled":false,"altText":"","message":""}},"76_text":"Amount to charge my card today","76_message":"","76_labelAlign":"Auto","76_required":"No","76_options":"490|450|400|310|220","76_special":"None","76_allowOther":"Yes","76_otherText":"Other","76_selected":"","76_spreadCols":"3","76_description":"","76_mode":"textbox","76_name":"input76","76_qid":76,"76_type":"control_amount","76_order":29,"75_labelAlign":"Auto","75_text":"Total","75_partialPayEnabled":"No","75_partialPayType":"dollar","75_partialPayMinimum":0,"75_required":"No","75_offsetGiftEnabled":"No","75_offsetGift":3,"75_name":"total","75_qid":75,"75_type":"control_totalamount","75_order":30,"77_text":"\u003cp\u003e\u003ca href=\"/Article.asp?AID=4460044\"\u003e\u003cspan style=\"font-size: 24px;\"\u003eTo apply for a scholarship, please click here\u003c/span\u003e\u003c/a\u003e\u003c/p\u003e","77_name":"doubleclickTo77","77_qid":77,"77_type":"control_text","77_order":31,"2_text":"Submit","2_buttonAlign":"Center","2_clear":"No","2_print":"No","2_name":"submit","2_qid":2,"2_type":"control_button","2_order":32,"form_title":"Student Information","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"14","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"765","form_labelWidth":"150","form_alignment":"Left","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"}],"form_limitSubmission":"No Limit","form_expireDate":"No Limit","form_messageOfLimitedForm":"This form is currently unavailable!","form_emails":[],"form_language":"","form_sendEmail":"Yes","form_style":"Default","form_theme":"nova","form_id":4460040,"form_formStringsChanged":"yes","form_slug":4460040,"form_stopHighlight":"Yes","form_optinDisabled":"true"}][0] || {}, window.formJson || {});
window.isSecureForm = true
});

			if (typeof(Userform) ==='undefined')
			{
				Userform={init:function(args){
					$j(function(){
						Userform.init.apply(Userform, [args]);
					})
				},
				setConditions:function(args){
					$j(function(){
						Userform.setConditions.apply(Userform, [args]);
					})
				}};
			}
</script><script type="text/javascript">
   Userform.init(function(){
      Userform.alterTexts({"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"});
   });
</script>
<style type="text/css" id="GenFormStyles">
    .form-label{
        width:150px !important;
    }
    .form-label-left{
        width:150px !important;
    }
    .form-line{
        padding-top:12px;
        padding-bottom:12px;
    }
    .form-label-right{
        width:150px !important;
    }
    .form-all {
        font-size:14px;
    }
.co_body .content .form-all p {
 font-size:14px;

}
@media screen and (max-width: 600px) {.form-label-left{ float:none;     display:block;}.form-buttons-wrapper.button-align-auto{text-indent: 0!important;}}</style>

<form class="userform-form" action="" method="post" name="form_4460040" id="4460040" accept-charset="utf-8">
  <input type="hidden" name="formID" value="4460040" />
  <div class="form-all dir_ltr" dir="ltr">
    <ul class="form-section">
      <li class="form-line" id="id_1">
        <div id="cid_1" class="form-input-wide">
          <div id="text_1" class="form-html">
            <p><span style="font-size: 20px;"><strong><span id="docs-internal-guid-130ee7c2-7fff-a03f-3115-4ba73d876e96"></span>
                </strong></span>
            </p>
            <p dir="ltr">
              <strong>
                We are pleased to open a new and improved JKC program to suit the needs of public school children in fully virtual or blended learning programs. The program will include remote learning with the help of trained and highly skilled tutors, educational 
              </strong>
              <strong>
                activities, hot lunch, outdoor play, Jewish culture and lots of fun!
              </strong>
            </p>
            <p dir="ltr">
              <strong>
                We have only 18 spots for September. Register now before we are full! 
              </strong>
            </p>
            <p dir="ltr">
              <strong>
                JKC will be open as of Thurs, Sept. 10 regardless of when public schools will open. From Sept. 10 begins, JKC hours are 
              </strong>
              <b>
                9am until 2pm. Once school begins in- person or remote learning we will begin the extended care options (8:15-9am and 2-4pm). 
              </b>
            </p>
            <p dir="ltr">
              <strong>
                Please note that JKC is open for September and October on a trial basis. We will then reassess and make any necessary revisions for November’s schedule and rates. Thank you for your understanding.
              </strong>
            </p>
            <p>
              <strong><span style="font-size: 14px;">As the pandemic continues, we at JKC will be vigilant to keep the students and staff safe and will be carefully following all CDC guidelines. We will monitor symptoms of COVID-19. We will be practicing social distancing, as developmentally appropriate. We will ensure hygiene (including regular cleaning and disinfecting). We will communicate and train staff, parents, and students related to new expectations. We will ensure isolation in case of symptoms or confirmed cases onsite.  We will maintain
                  required staff to camper ratios in the event of staff illness. We will do everything in our power to keep everyone healthy and safe.</span>
                <br />
                <br />
              </strong>
            </p>
            <p>
              <img src="https://w3.chabad.org/media/images/1093/vLjf10934293.jpg" border="0" align="left" hspace="10" alt="" /><span style="font-family: Arial; font-size: 14px;">We are currently accepting application forms for the 2020-2021 school year. Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.</span><span style="font-family: Arial;"></span>
            </p>
            <p><span style="font-family: Arial; font-size: 14px;">One registration form per child is needed.</span><span style="font-family: Arial;"></span>
            </p>
          </div>
        </div>
      </li>
      <li id="cid_3" class="form-input-wide">
        <div class="form-header-group">
          <h3 id="header_3" class="form-header">
            Student Information
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_4">
        <div class="form-label-left" id="label_4">
          <label for="input_4">
            Full Name<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_4">  </label>
        </div>
        <div id="cid_4" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q4_fullName[first]" id="first_4" />
            <label class="form-sub-label" for="first_4" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q4_fullName[last]" id="last_4" />
            <label class="form-sub-label" for="last_4" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_5">
        <div class="form-label-left" id="label_5">
          <label for="input_5"> Hebrew Name </label>
          <label class="label-message" for="input_5">  </label>
        </div>
        <div id="cid_5" class="form-input">
          <input type="text" class=" form-textbox" data-type="input-textbox" id="input_5" name="q5_input5" size="20" value="" />
        </div>
      </li>
      <li class="form-line" id="id_80">
        <div class="form-label-left" id="label_80">
          <label for="input_80">
            School<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_80">  </label>
        </div>
        <div id="cid_80" class="form-input">
          <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_80" name="q80_input80" size="20" value="" />
        </div>
      </li>
      <li class="form-line" id="id_8">
        <div class="form-label-left" id="label_8">
          <label for="input_8">
            Grade Entering<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_8">  </label>
        </div>
        <div id="cid_8" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_8" name="q8_input8">
            <option value="">  </option>
            <option value="Pre-K"> Pre-K </option>
            <option value="Kindergarten"> Kindergarten </option>
            <option value="First"> First </option>
            <option value="Second"> Second </option>
            <option value="Third"> Third </option>
            <option value="Fourth"> Fourth </option>
            <option value="Fifth"> Fifth </option>
            <option value="Sixth"> Sixth </option>
            <option value="Seventh"> Seventh </option>
            <option value="Eighth"> Eighth </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_43">
        <div class="form-label-left" id="label_43">
          <label for="input_43">
            What would you like your child to get out of his/ her 2019–2020 JKC experience?<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_43">  </label>
        </div>
        <div id="cid_43" class="form-input">
          <textarea id="input_43" class="form-textarea validate[required]" name="q43_input43" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li class="form-line" id="id_44">
        <div class="form-label-left" id="label_44">
          <label for="input_44"> We always look to make the Jewish Kids Club an after-school that truly serves YOUR family. In what area(s) would you like to see the most growth or improvement within JKC for the coming year? </label>
          <label class="label-message" for="input_44">  </label>
        </div>
        <div id="cid_44" class="form-input">
          <textarea id="input_44" class="form-textarea" name="q44_input44" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li class="form-line" id="id_45">
        <div class="form-label-left" id="label_45">
          <label for="input_45"> Are there any updates on your child’s allergies or any medical concerns we should be aware about? If so, please list any concerns you have or special considerations you would like to incorporate for your child in order to accommodate them in the best manner possible. </label>
          <label class="label-message" for="input_45">  </label>
        </div>
        <div id="cid_45" class="form-input">
          <textarea id="input_45" class="form-textarea" name="q45_input45" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_62" class="form-input-wide">
        <div class="form-header-group">
          <h2 id="header_62" class="form-header">
            Tuition Agreement
          </h2>
        </div>
      </li>
      <li class="form-line" id="id_63">
        <div id="cid_63" class="form-input-wide">
          <div id="text_63" class="form-html">
            <p><span id="docs-internal-guid-51c9d2ae-7fff-1873-beeb-3e5d00456bee"></span>
            </p>
            <p dir="ltr">
              9:00am-2:00pm regular jkc hours 
            </p>
            <p dir="ltr">
              2:00pm- 4:00pm extended care 
              <br />
              <br />
              Monthly tuition rate for regular jkc hours 9am-2pm:
            </p>
            <p dir="ltr">
              $700 for 5 days a week 
            </p>
            <p dir="ltr">
              $620 for 4 days a week 
            </p>
            <p dir="ltr">
              $575 for 3 days a week
            </p>
            <p dir="ltr">
              $450 for 2 days a week 
            </p>
            <p dir="ltr">
              $400 for 1 day a week
            </p>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_64">
        <div class="form-label-left" id="label_64">
          <label for="input_64">
            My child will be joining regular JKC hours only on:<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_64">  </label>
        </div>
        <div id="cid_64" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_64_0" name="q64_input64[]" value="Monday" />
              <label id="label_input_64_0" for="input_64_0"><span>Monday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_64_1" name="q64_input64[]" value="Tuesday" />
              <label id="label_input_64_1" for="input_64_1"><span>Tuesday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_64_2" name="q64_input64[]" value="Wednesday" />
              <label id="label_input_64_2" for="input_64_2"><span>Wednesday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_64_3" name="q64_input64[]" value="Thursday" />
              <label id="label_input_64_3" for="input_64_3"><span>Thursday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_64_4" name="q64_input64[]" value="Friday" />
              <label id="label_input_64_4" for="input_64_4"><span>Friday</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_81">
        <div class="form-label-left" id="label_81">
          <label for="input_81"> Special selection for regular JKC hours: $600 per month - My child will be in blended learning and is in cohort (check one) </label>
          <label class="label-message" for="input_81">  </label>
        </div>
        <div id="cid_81" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_81_0" name="q81_input81[]" value="Group A" />
              <label id="label_input_81_0" for="input_81_0"><span>Group A</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_81_1" name="q81_input81[]" value="Group B" />
              <label id="label_input_81_1" for="input_81_1"><span>Group B</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_81_2" name="q81_input81[]" value="Group C" />
              <label id="label_input_81_2" for="input_81_2"><span>Group C</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_81_3" name="q81_input81[]" value="and will be attending on all days that my child is not in school. (3 or 4 days a week)" />
              <label id="label_input_81_3" for="input_81_3"><span>and will be attending on all days that my child is not in school. (3 or 4 days a week)</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_82">
        <div id="cid_82" class="form-input-wide">
          <div id="text_82" class="form-html">
            <p><span id="docs-internal-guid-51c9d2ae-7fff-1873-beeb-3e5d00456bee"></span>
            </p>
            <p><span id="docs-internal-guid-0935c267-7fff-0a6e-6f31-f316e919bd91"></span>
            </p>
            <p dir="ltr">
              Monthly tuition rates for extended care hours 2-4pm:
            </p>
            <p dir="ltr">
              $250 for 5 days a week 
            </p>
            <p dir="ltr">
              $220 for 4 days a week
            </p>
            <p dir="ltr">
              $190 for 3 days a week
            </p>
            <p dir="ltr">
              $175 for 2 days a week
            </p>
            <p dir="ltr">
              $150 for 1 day a week
            </p>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_83">
        <div class="form-label-left" id="label_83">
          <label for="input_83"> Please circle one: </label>
          <label class="label-message" for="input_83">  </label>
        </div>
        <div id="cid_83" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_83_0" name="q83_input83[]" value="My child will need to be picked up from school for extended care hours. (If NOT in PS100 please include additional $100 fee for transportation.)" />
              <label id="label_input_83_0" for="input_83_0"><span>My child will need to be picked up from school for extended care hours. (If NOT in PS100 please include additional $100 fee for transportation.)</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_83_1" name="q83_input83[]" value="My child will only be joining extended care hours on days that he/she is already at JKC for regular hours." />
              <label id="label_input_83_1" for="input_83_1"><span>My child will only be joining extended care hours on days that he/she is already at JKC for regular hours.</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_83_2" name="q83_input83[]" value="My child will be dropped off at JKC for extended care hours." />
              <label id="label_input_83_2" for="input_83_2"><span>My child will be dropped off at JKC for extended care hours.</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_84">
        <div class="form-label-left" id="label_84">
          <label for="input_84"> Please select which days of the week your child will be joining extended care hours: </label>
          <label class="label-message" for="input_84">  </label>
        </div>
        <div id="cid_84" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_84_0" name="q84_input84[]" value="Monday" />
              <label id="label_input_84_0" for="input_84_0"><span>Monday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_84_1" name="q84_input84[]" value="Tuesday" />
              <label id="label_input_84_1" for="input_84_1"><span>Tuesday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_84_2" name="q84_input84[]" value="Wednesday" />
              <label id="label_input_84_2" for="input_84_2"><span>Wednesday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_84_3" name="q84_input84[]" value="Thursday" />
              <label id="label_input_84_3" for="input_84_3"><span>Thursday</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_84_4" name="q84_input84[]" value="Friday" />
              <label id="label_input_84_4" for="input_84_4"><span>Friday</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_85">
        <div class="form-label-left" id="label_85">
          <label for="input_85"> Special selection for extended hours: $210 per month - My child will be in blended learning and is in cohort (check one) </label>
          <label class="label-message" for="input_85">  </label>
        </div>
        <div id="cid_85" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_85_0" name="q85_input85[]" value="Group A" />
              <label id="label_input_85_0" for="input_85_0"><span>Group A</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_85_1" name="q85_input85[]" value="Group B" />
              <label id="label_input_85_1" for="input_85_1"><span>Group B</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_85_2" name="q85_input85[]" value="Group C" />
              <label id="label_input_85_2" for="input_85_2"><span>Group C</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_85_3" name="q85_input85[]" value="and will be attending on all days that my child is not in school. (3 or 4 days a week)" />
              <label id="label_input_85_3" for="input_85_3"><span>and will be attending on all days that my child is not in school. (3 or 4 days a week)</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_86">
        <div class="form-label-left" id="label_86">
          <label for="input_86"> Early care 8:15-9:00am: </label>
          <label class="label-message" for="input_86">  </label>
        </div>
        <div id="cid_86" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_86_0" name="q86_input86[]" value="$75 per month" />
              <label id="label_input_86_0" for="input_86_0"><span>$75 per month</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_65">
        <div id="cid_65" class="form-input-wide">
          <div id="text_65" class="form-html">
            <p>
              For questions, comments or discounted rates, contact us at
              <a href="mailto:jkcafterschool@gmail.com">jkcafterschool@gmail.com</a>
              .
            </p>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_66">
        <div class="form-label-left" id="label_66">
          <label for="input_66">
            Payment options: (Please check off one.)<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_66">  </label>
        </div>
        <div id="cid_66" class="form-input">
          <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_66_0" name="q66_input66" value="Pay by check on the first day of each month." />
              <label id="label_input_66_0" for="input_66_0"><span>Pay by check on the first day of each month.</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_66_1" name="q66_input66" value="Pay online now and we will charge the same card on the first day of every month.      (You’ll be charged a small fee for credit card processing.)" />
              <label id="label_input_66_1" for="input_66_1"><span>Pay online now and we will charge the same card on the first day of every month. (You’ll be charged a small fee for credit card processing.)</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_67">
        <div class="form-label-left" id="label_67">
          <label for="input_67"> Enter promo code: </label>
          <label class="label-message" for="input_67">  </label>
        </div>
        <div id="cid_67" class="form-input">
          <input type="text" class=" form-textbox" data-type="input-textbox" id="input_67" name="q67_input67" size="20" value="" />
        </div>
      </li>
      <li class="form-line" id="id_68">
        <div id="cid_68" class="form-input-wide">
          <div id="text_68" class="form-html">
            <p>
              <strong>
                In order to complete your child's registration:
              </strong>
            </p>
            <p>
              - submit full payment for (at least) September
            </p>
            <p>
              - email updated health form to
              <a href="mailto:jkcafterschool@gmail.com">jkcafterschool@gmail.com </a>
            </p>
            <p>
              - wait for confirmation that your child is accepted
            </p>
            <p>
              <strong>
                If you have any questions or concerns, feel free to contact us:
              </strong>
              <br />
              718-764-3544 • 
              <a href="mailto:jkcafterschool@gmail.com">JKCafterschool@gmail.com</a>
               • 
              <a href="mailto:LeahWinner@gmail.com">LeahWinner@gmail.com</a>
            </p>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_69">
        <div class="form-label-left" id="label_69">
          <label for="input_69">
            Commitment<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_69">  </label>
        </div>
        <div id="cid_69" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_69_0" name="q69_input69[]" value="I understand that by submitting this form I am committing to pay the above outlined tuition fees." />
              <label id="label_input_69_0" for="input_69_0"><span>I understand that by submitting this form I am committing to pay the above outlined tuition fees.</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_78">
        <div class="form-label-left" id="label_78">
          <label for="input_78">
            Name<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_78">  </label>
        </div>
        <div id="cid_78" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q78_fullName78[first]" id="first_78" />
            <label class="form-sub-label" for="first_78" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q78_fullName78[last]" id="last_78" />
            <label class="form-sub-label" for="last_78" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_71">
        <div class="form-label-left" id="label_71">
          <label for="input_71">
            Initials<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_71">  </label>
        </div>
        <div id="cid_71" class="form-input">
          <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_71" name="q71_input71" size="20" value="" />
        </div>
      </li>
      <li class="form-line" id="id_79">
        <div class="form-label-left" id="label_79">
          <label for="input_79">
            Date<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_79">  </label>
        </div>
        <div id="cid_79" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q79_birthDate79[month]" id="input_79_month">
                <option>  </option>
                <option value="1"> 1 - January </option>
                <option value="2"> 2 - February </option>
                <option value="3"> 3 - March </option>
                <option value="4"> 4 - April </option>
                <option value="5"> 5 - May </option>
                <option value="6"> 6 - June </option>
                <option value="7"> 7 - July </option>
                <option value="8"> 8 - August </option>
                <option value="9"> 9 - September </option>
                <option value="10"> 10 - October </option>
                <option value="11"> 11 - November </option>
                <option value="12"> 12 - December </option>
              </select>
              <label class="form-sub-label" for="input_79_month" id="sublabel_month"> Month </label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q79_birthDate79[day]" id="input_79_day">
                <option>  </option>
                <option value="1"> 1 </option>
                <option value="2"> 2 </option>
                <option value="3"> 3 </option>
                <option value="4"> 4 </option>
                <option value="5"> 5 </option>
                <option value="6"> 6 </option>
                <option value="7"> 7 </option>
                <option value="8"> 8 </option>
                <option value="9"> 9 </option>
                <option value="10"> 10 </option>
                <option value="11"> 11 </option>
                <option value="12"> 12 </option>
                <option value="13"> 13 </option>
                <option value="14"> 14 </option>
                <option value="15"> 15 </option>
                <option value="16"> 16 </option>
                <option value="17"> 17 </option>
                <option value="18"> 18 </option>
                <option value="19"> 19 </option>
                <option value="20"> 20 </option>
                <option value="21"> 21 </option>
                <option value="22"> 22 </option>
                <option value="23"> 23 </option>
                <option value="24"> 24 </option>
                <option value="25"> 25 </option>
                <option value="26"> 26 </option>
                <option value="27"> 27 </option>
                <option value="28"> 28 </option>
                <option value="29"> 29 </option>
                <option value="30"> 30 </option>
                <option value="31"> 31 </option>
              </select>
              <label class="form-sub-label" for="input_79_day" id="sublabel_day"> Day </label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q79_birthDate79[year]" id="input_79_year">
                <option>  </option>
                <option value="2021"> 2021 </option>
                <option value="2020"> 2020 </option>
                <option value="2019"> 2019 </option>
                <option value="2018"> 2018 </option>
                <option value="2017"> 2017 </option>
                <option value="2016"> 2016 </option>
                <option value="2015"> 2015 </option>
                <option value="2014"> 2014 </option>
                <option value="2013"> 2013 </option>
                <option value="2012"> 2012 </option>
                <option value="2011"> 2011 </option>
                <option value="2010"> 2010 </option>
                <option value="2009"> 2009 </option>
                <option value="2008"> 2008 </option>
                <option value="2007"> 2007 </option>
                <option value="2006"> 2006 </option>
                <option value="2005"> 2005 </option>
                <option value="2004"> 2004 </option>
                <option value="2003"> 2003 </option>
                <option value="2002"> 2002 </option>
                <option value="2001"> 2001 </option>
                <option value="2000"> 2000 </option>
                <option value="1999"> 1999 </option>
                <option value="1998"> 1998 </option>
                <option value="1997"> 1997 </option>
                <option value="1996"> 1996 </option>
                <option value="1995"> 1995 </option>
                <option value="1994"> 1994 </option>
                <option value="1993"> 1993 </option>
                <option value="1992"> 1992 </option>
                <option value="1991"> 1991 </option>
                <option value="1990"> 1990 </option>
                <option value="1989"> 1989 </option>
                <option value="1988"> 1988 </option>
                <option value="1987"> 1987 </option>
                <option value="1986"> 1986 </option>
                <option value="1985"> 1985 </option>
                <option value="1984"> 1984 </option>
                <option value="1983"> 1983 </option>
                <option value="1982"> 1982 </option>
                <option value="1981"> 1981 </option>
                <option value="1980"> 1980 </option>
                <option value="1979"> 1979 </option>
                <option value="1978"> 1978 </option>
                <option value="1977"> 1977 </option>
                <option value="1976"> 1976 </option>
                <option value="1975"> 1975 </option>
                <option value="1974"> 1974 </option>
                <option value="1973"> 1973 </option>
                <option value="1972"> 1972 </option>
                <option value="1971"> 1971 </option>
                <option value="1970"> 1970 </option>
                <option value="1969"> 1969 </option>
                <option value="1968"> 1968 </option>
                <option value="1967"> 1967 </option>
                <option value="1966"> 1966 </option>
                <option value="1965"> 1965 </option>
                <option value="1964"> 1964 </option>
                <option value="1963"> 1963 </option>
                <option value="1962"> 1962 </option>
                <option value="1961"> 1961 </option>
                <option value="1960"> 1960 </option>
                <option value="1959"> 1959 </option>
                <option value="1958"> 1958 </option>
                <option value="1957"> 1957 </option>
                <option value="1956"> 1956 </option>
                <option value="1955"> 1955 </option>
                <option value="1954"> 1954 </option>
                <option value="1953"> 1953 </option>
                <option value="1952"> 1952 </option>
                <option value="1951"> 1951 </option>
                <option value="1950"> 1950 </option>
                <option value="1949"> 1949 </option>
                <option value="1948"> 1948 </option>
                <option value="1947"> 1947 </option>
                <option value="1946"> 1946 </option>
                <option value="1945"> 1945 </option>
                <option value="1944"> 1944 </option>
                <option value="1943"> 1943 </option>
                <option value="1942"> 1942 </option>
                <option value="1941"> 1941 </option>
                <option value="1940"> 1940 </option>
                <option value="1939"> 1939 </option>
                <option value="1938"> 1938 </option>
                <option value="1937"> 1937 </option>
                <option value="1936"> 1936 </option>
                <option value="1935"> 1935 </option>
                <option value="1934"> 1934 </option>
                <option value="1933"> 1933 </option>
                <option value="1932"> 1932 </option>
                <option value="1931"> 1931 </option>
                <option value="1930"> 1930 </option>
                <option value="1929"> 1929 </option>
                <option value="1928"> 1928 </option>
                <option value="1927"> 1927 </option>
                <option value="1926"> 1926 </option>
                <option value="1925"> 1925 </option>
                <option value="1924"> 1924 </option>
                <option value="1923"> 1923 </option>
                <option value="1922"> 1922 </option>
                <option value="1921"> 1921 </option>
                <option value="1920"> 1920 </option>
              </select>
              <label class="form-sub-label" for="input_79_year" id="sublabel_year"> Year </label></span>
          </div>
        </div>
      </li>
      <li id="cid_73" class="form-input-wide">
        <div class="form-header-group">
          <h3 id="header_73" class="form-header">
            Secure Online Payment
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_74">
        <div class="form-label-left" id="label_74">
          <label for="input_74"> Payment </label>
          <label class="label-message" for="input_74">  </label>
        </div>
        <div id="cid_74" class="form-input">
          <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0">
            <tbody><tr>
              <td colspan="2" class="form-payment-methods form-multiple-column">
              </td>
            </tr>
            <tr class="credit_card ">
              <th colspan="2">
                Credit Card
              </th>
            </tr>
            <tr class="credit_card ">
              <td colspan="2" style="padding:0">
                <table cellpadding="0" cellspacing="0">
                  <tbody><tr>
                    <td colspan="2"><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q74_payment[cc_type]" id="input_74_cc_type">
                          <option value="Visa"> Visa </option>
                          <option value="Mastercard"> MasterCard </option>
                          <option value="Amex"> American Express </option>
                          <option value="Discover"> Discover </option>
                        </select>
                        <label class="form-sub-label" for="input_74_cc_type" id="sublabel_cc_type"> Credit Card Type </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q74_payment[cc_number]" id="input_74_cc_number" size="20" autocomplete="off" />
                        <label class="form-sub-label" for="input_74_cc_number" id="sublabel_cc_number"> Credit Card Number </label></span>
                    </td>
                    <td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q74_payment[cc_ccv]" id="input_74_cc_ccv" size="6" autocomplete="off" />
                        <label class="form-sub-label" for="input_74_cc_ccv" id="sublabel_cc_ccv"> Security Code </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q74_payment[cc_nameOnCard]" id="input_74_cc_nameOnCard" size="33" autocomplete="off" />
                        <label class="form-sub-label" for="input_74_cc_nameOnCard" id="sublabel_cc_nameOnCard"> Name on Card </label></span>
                    </td>
                  </tr>
                  <tr class="credit_card ">
                    <td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q74_payment[cc_exp_month]" id="input_74_cc_exp_month">
                          <option>  </option>
                          <option value="1"> 1 - January </option>
                          <option value="2"> 2 - February </option>
                          <option value="3"> 3 - March </option>
                          <option value="4"> 4 - April </option>
                          <option value="5"> 5 - May </option>
                          <option value="6"> 6 - June </option>
                          <option value="7"> 7 - July </option>
                          <option value="8"> 8 - August </option>
                          <option value="9"> 9 - September </option>
                          <option value="10"> 10 - October </option>
                          <option value="11"> 11 - November </option>
                          <option value="12"> 12 - December </option>
                        </select>
                        <label class="form-sub-label" for="input_74_cc_exp_month" id="sublabel_cc_exp_month"> Expiration Month </label></span>
                    </td>
                    <td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q74_payment[cc_exp_year]" id="input_74_cc_exp_year">
                          <option>  </option>
                          <option value="2021"> 2021 </option>
                          <option value="2022"> 2022 </option>
                          <option value="2023"> 2023 </option>
                          <option value="2024"> 2024 </option>
                          <option value="2025"> 2025 </option>
                          <option value="2026"> 2026 </option>
                          <option value="2027"> 2027 </option>
                          <option value="2028"> 2028 </option>
                          <option value="2029"> 2029 </option>
                          <option value="2030"> 2030 </option>
                        </select>
                        <label class="form-sub-label" for="input_74_cc_exp_year" id="sublabel_cc_exp_year"> Expiration Year </label></span>
                    </td>
                  </tr>
                </tbody></table>
              </td>
            </tr>
            <tr class="billing_address ">
              <th colspan="2">
                Billing Address
              </th>
            </tr>
            <tr class="billing_address ">
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q74_payment[addr_line1]" id="input_74_addr_line1" />
                  <label class="form-sub-label" for="input_74_addr_line1" id="sublabel_74_addr_line1"> Street Address </label></span>
              </td>
            </tr>
            <tr class="billing_address ">
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q74_payment[addr_line2]" id="input_74_addr_line2" size="46" />
                  <label class="form-sub-label" for="input_74_addr_line2" id="sublabel_74_addr_line2"> Street Address Line 2 </label></span>
              </td>
            </tr>
            <tr class="billing_address ">
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q74_payment[city]" id="input_74_city" />
                  <label class="form-sub-label" for="input_74_city" id="sublabel_74_city"> City </label></span>
              </td>
              <td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q74_payment[state]" id="input_74_state" />
                  <label class="form-sub-label" for="input_74_state" id="sublabel_74_state"> State / Province </label></span>
              </td>
            </tr>
            <tr class="billing_address ">
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q74_payment[postal]" id="input_74_postal" size="10" />
                  <label class="form-sub-label" for="input_74_postal" id="sublabel_74_postal"> Postal / Zip Code </label></span>
              </td>
              <td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q74_payment[country]" id="input_74_country">
                    <option value="" selected="selected"> Please Select </option>
                    <option value="United States"> United States </option>
                    <option value="Afghanistan"> Afghanistan </option>
                    <option value="Albania"> Albania </option>
                    <option value="Algeria"> Algeria </option>
                    <option value="American Samoa"> American Samoa </option>
                    <option value="Andorra"> Andorra </option>
                    <option value="Angola"> Angola </option>
                    <option value="Anguilla"> Anguilla </option>
                    <option value="Antigua and Barbuda"> Antigua and Barbuda </option>
                    <option value="Argentina"> Argentina </option>
                    <option value="Armenia"> Armenia </option>
                    <option value="Aruba"> Aruba </option>
                    <option value="Australia"> Australia </option>
                    <option value="Austria"> Austria </option>
                    <option value="Azerbaijan"> Azerbaijan </option>
                    <option value="The Bahamas"> The Bahamas </option>
                    <option value="Bahrain"> Bahrain </option>
                    <option value="Bangladesh"> Bangladesh </option>
                    <option value="Barbados"> Barbados </option>
                    <option value="Belarus"> Belarus </option>
                    <option value="Belgium"> Belgium </option>
                    <option value="Belize"> Belize </option>
                    <option value="Benin"> Benin </option>
                    <option value="Bermuda"> Bermuda </option>
                    <option value="Bhutan"> Bhutan </option>
                    <option value="Bolivia"> Bolivia </option>
                    <option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
                    <option value="Botswana"> Botswana </option>
                    <option value="Brazil"> Brazil </option>
                    <option value="Brunei"> Brunei </option>
                    <option value="Bulgaria"> Bulgaria </option>
                    <option value="Burkina Faso"> Burkina Faso </option>
                    <option value="Burundi"> Burundi </option>
                    <option value="Cambodia"> Cambodia </option>
                    <option value="Cameroon"> Cameroon </option>
                    <option value="Canada"> Canada </option>
                    <option value="Cape Verde"> Cape Verde </option>
                    <option value="Cayman Islands"> Cayman Islands </option>
                    <option value="Central African Republic"> Central African Republic </option>
                    <option value="Chad"> Chad </option>
                    <option value="Chile"> Chile </option>
                    <option value="People's Republic of China"> People's Republic of China </option>
                    <option value="Republic of China"> Republic of China </option>
                    <option value="Christmas Island"> Christmas Island </option>
                    <option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
                    <option value="Colombia"> Colombia </option>
                    <option value="Comoros"> Comoros </option>
                    <option value="Congo"> Congo </option>
                    <option value="Cook Islands"> Cook Islands </option>
                    <option value="Costa Rica"> Costa Rica </option>
                    <option value="Cote d'Ivoire"> Cote d'Ivoire </option>
                    <option value="Croatia"> Croatia </option>
                    <option value="Cuba"> Cuba </option>
                    <option value="Cyprus"> Cyprus </option>
                    <option value="Czech Republic"> Czech Republic </option>
                    <option value="Denmark"> Denmark </option>
                    <option value="Djibouti"> Djibouti </option>
                    <option value="Dominica"> Dominica </option>
                    <option value="Dominican Republic"> Dominican Republic </option>
                    <option value="Ecuador"> Ecuador </option>
                    <option value="Egypt"> Egypt </option>
                    <option value="El Salvador"> El Salvador </option>
                    <option value="Equatorial Guinea"> Equatorial Guinea </option>
                    <option value="Eritrea"> Eritrea </option>
                    <option value="Estonia"> Estonia </option>
                    <option value="Eswatini"> Eswatini </option>
                    <option value="Ethiopia"> Ethiopia </option>
                    <option value="Falkland Islands"> Falkland Islands </option>
                    <option value="Faroe Islands"> Faroe Islands </option>
                    <option value="Fiji"> Fiji </option>
                    <option value="Finland"> Finland </option>
                    <option value="France"> France </option>
                    <option value="French Polynesia"> French Polynesia </option>
                    <option value="Gabon"> Gabon </option>
                    <option value="The Gambia"> The Gambia </option>
                    <option value="Georgia"> Georgia </option>
                    <option value="Germany"> Germany </option>
                    <option value="Ghana"> Ghana </option>
                    <option value="Gibraltar"> Gibraltar </option>
                    <option value="Greece"> Greece </option>
                    <option value="Greenland"> Greenland </option>
                    <option value="Grenada"> Grenada </option>
                    <option value="Guadeloupe"> Guadeloupe </option>
                    <option value="Guam"> Guam </option>
                    <option value="Guatemala"> Guatemala </option>
                    <option value="Guernsey"> Guernsey </option>
                    <option value="Guinea"> Guinea </option>
                    <option value="Guinea-Bissau"> Guinea-Bissau </option>
                    <option value="Guyana"> Guyana </option>
                    <option value="Haiti"> Haiti </option>
                    <option value="Honduras"> Honduras </option>
                    <option value="Hong Kong"> Hong Kong </option>
                    <option value="Hungary"> Hungary </option>
                    <option value="Iceland"> Iceland </option>
                    <option value="India"> India </option>
                    <option value="Indonesia"> Indonesia </option>
                    <option value="Iran"> Iran </option>
                    <option value="Iraq"> Iraq </option>
                    <option value="Ireland"> Ireland </option>
                    <option value="Israel"> Israel </option>
                    <option value="Italy"> Italy </option>
                    <option value="Jamaica"> Jamaica </option>
                    <option value="Japan"> Japan </option>
                    <option value="Jersey"> Jersey </option>
                    <option value="Jordan"> Jordan </option>
                    <option value="Kazakhstan"> Kazakhstan </option>
                    <option value="Kenya"> Kenya </option>
                    <option value="Kiribati"> Kiribati </option>
                    <option value="North Korea"> North Korea </option>
                    <option value="South Korea"> South Korea </option>
                    <option value="Kosovo"> Kosovo </option>
                    <option value="Kuwait"> Kuwait </option>
                    <option value="Kyrgyzstan"> Kyrgyzstan </option>
                    <option value="Laos"> Laos </option>
                    <option value="Latvia"> Latvia </option>
                    <option value="Lebanon"> Lebanon </option>
                    <option value="Lesotho"> Lesotho </option>
                    <option value="Liberia"> Liberia </option>
                    <option value="Libya"> Libya </option>
                    <option value="Liechtenstein"> Liechtenstein </option>
                    <option value="Lithuania"> Lithuania </option>
                    <option value="Luxembourg"> Luxembourg </option>
                    <option value="Macau"> Macau </option>
                    <option value="Macedonia"> Macedonia </option>
                    <option value="Madagascar"> Madagascar </option>
                    <option value="Malawi"> Malawi </option>
                    <option value="Malaysia"> Malaysia </option>
                    <option value="Maldives"> Maldives </option>
                    <option value="Mali"> Mali </option>
                    <option value="Malta"> Malta </option>
                    <option value="Marshall Islands"> Marshall Islands </option>
                    <option value="Martinique"> Martinique </option>
                    <option value="Mauritania"> Mauritania </option>
                    <option value="Mauritius"> Mauritius </option>
                    <option value="Mayotte"> Mayotte </option>
                    <option value="Mexico"> Mexico </option>
                    <option value="Micronesia"> Micronesia </option>
                    <option value="Moldova"> Moldova </option>
                    <option value="Monaco"> Monaco </option>
                    <option value="Mongolia"> Mongolia </option>
                    <option value="Montenegro"> Montenegro </option>
                    <option value="Montserrat"> Montserrat </option>
                    <option value="Morocco"> Morocco </option>
                    <option value="Mozambique"> Mozambique </option>
                    <option value="Myanmar"> Myanmar </option>
                    <option value="Namibia"> Namibia </option>
                    <option value="Nauru"> Nauru </option>
                    <option value="Nepal"> Nepal </option>
                    <option value="Netherlands"> Netherlands </option>
                    <option value="New Caledonia"> New Caledonia </option>
                    <option value="New Zealand"> New Zealand </option>
                    <option value="Nicaragua"> Nicaragua </option>
                    <option value="Niger"> Niger </option>
                    <option value="Nigeria"> Nigeria </option>
                    <option value="Niue"> Niue </option>
                    <option value="Norfolk Island"> Norfolk Island </option>
                    <option value="Northern Mariana"> Northern Mariana </option>
                    <option value="Norway"> Norway </option>
                    <option value="Oman"> Oman </option>
                    <option value="Pakistan"> Pakistan </option>
                    <option value="Palau"> Palau </option>
                    <option value="Panama"> Panama </option>
                    <option value="Papua New Guinea"> Papua New Guinea </option>
                    <option value="Paraguay"> Paraguay </option>
                    <option value="Peru"> Peru </option>
                    <option value="Philippines"> Philippines </option>
                    <option value="Pitcairn Islands"> Pitcairn Islands </option>
                    <option value="Poland"> Poland </option>
                    <option value="Portugal"> Portugal </option>
                    <option value="Puerto Rico"> Puerto Rico </option>
                    <option value="Qatar"> Qatar </option>
                    <option value="Romania"> Romania </option>
                    <option value="Russia"> Russia </option>
                    <option value="Rwanda"> Rwanda </option>
                    <option value="Saint Barthelemy"> Saint Barthelemy </option>
                    <option value="Saint Helena"> Saint Helena </option>
                    <option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
                    <option value="Saint Lucia"> Saint Lucia </option>
                    <option value="Saint Martin"> Saint Martin </option>
                    <option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
                    <option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
                    <option value="Samoa"> Samoa </option>
                    <option value="San Marino"> San Marino </option>
                    <option value="Sao Tome and Principe"> Sao Tome and Principe </option>
                    <option value="Saudi Arabia"> Saudi Arabia </option>
                    <option value="Senegal"> Senegal </option>
                    <option value="Serbia"> Serbia </option>
                    <option value="Seychelles"> Seychelles </option>
                    <option value="Sierra Leone"> Sierra Leone </option>
                    <option value="Singapore"> Singapore </option>
                    <option value="Slovakia"> Slovakia </option>
                    <option value="Slovenia"> Slovenia </option>
                    <option value="Solomon Islands"> Solomon Islands </option>
                    <option value="Somalia"> Somalia </option>
                    <option value="Somaliland"> Somaliland </option>
                    <option value="South Africa"> South Africa </option>
                    <option value="South Ossetia"> South Ossetia </option>
                    <option value="Spain"> Spain </option>
                    <option value="Sri Lanka"> Sri Lanka </option>
                    <option value="Sudan"> Sudan </option>
                    <option value="Suriname"> Suriname </option>
                    <option value="Svalbard"> Svalbard </option>
                    <option value="Sweden"> Sweden </option>
                    <option value="Switzerland"> Switzerland </option>
                    <option value="Syria"> Syria </option>
                    <option value="Taiwan"> Taiwan </option>
                    <option value="Tajikistan"> Tajikistan </option>
                    <option value="Tanzania"> Tanzania </option>
                    <option value="Thailand"> Thailand </option>
                    <option value="Timor-Leste"> Timor-Leste </option>
                    <option value="Togo"> Togo </option>
                    <option value="Tokelau"> Tokelau </option>
                    <option value="Tonga"> Tonga </option>
                    <option value="Trinidad and Tobago"> Trinidad and Tobago </option>
                    <option value="Tristan da Cunha"> Tristan da Cunha </option>
                    <option value="Tunisia"> Tunisia </option>
                    <option value="Turkey"> Turkey </option>
                    <option value="Turkmenistan"> Turkmenistan </option>
                    <option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
                    <option value="Tuvalu"> Tuvalu </option>
                    <option value="Uganda"> Uganda </option>
                    <option value="Ukraine"> Ukraine </option>
                    <option value="United Arab Emirates"> United Arab Emirates </option>
                    <option value="United Kingdom"> United Kingdom </option>
                    <option value="Uruguay"> Uruguay </option>
                    <option value="Uzbekistan"> Uzbekistan </option>
                    <option value="Vanuatu"> Vanuatu </option>
                    <option value="Vatican City"> Vatican City </option>
                    <option value="Venezuela"> Venezuela </option>
                    <option value="Vietnam"> Vietnam </option>
                    <option value="British Virgin Islands"> British Virgin Islands </option>
                    <option value="US Virgin Islands"> US Virgin Islands </option>
                    <option value="Wallis and Futuna"> Wallis and Futuna </option>
                    <option value="Western Sahara"> Western Sahara </option>
                    <option value="Yemen"> Yemen </option>
                    <option value="Zambia"> Zambia </option>
                    <option value="Zimbabwe"> Zimbabwe </option>
                    <option value="other"> Other </option>
                  </select>
                  <label class="form-sub-label" for="input_74_country" id="sublabel_74_country"> Country </label></span>
              </td>
          </tr></tbody></table>
        </div>
      </li>
      <li class="form-line" id="id_76">
        <div class="form-label-left" id="label_76">
          <label for="input_76"> Amount to charge my card today </label>
          <label class="label-message" for="input_76">  </label>
        </div>
        <div id="cid_76" class="form-input">
          <div class="form-single-column"><span class="form-radio-item simple-mode"><label id="label_input_76" for="input_76"><span>$</span>
              </label>
              <input type="text" class="form-textbox" id="input_76" name="q76_input76" value="" onkeypress="validateNumber(event)" /></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_75">
        <div class="form-label-left" id="label_75">
          <label for="input_75"> Total </label>
        </div>
        <div id="cid_75" class="form-input">
          <div id="total_amount">
            $0.00
          </div>
        </div>
      </li>
      <li class="form-line" id="id_77">
        <div id="cid_77" class="form-input-wide">
          <div id="text_77" class="form-html">
            <p>
              <a href="/Article.asp?AID=4460044"><span style="font-size: 24px;">To apply for a scholarship, please click here</span></a>
            </p>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_2">
        <div id="cid_2" class="form-input-wide">
          <div style="text-align: center;" class="form-buttons-wrapper button-align-center">
            <button id="input_2" type="submit" class="form-submit-button  form-submit-button-none;">
              Submit
            </button>
          </div>
        </div>
      </li>
      <li style="display:none">
        Should be Empty:
        <input type="text" name="website" value="" />
      </li>
    </ul>
  </div>
  <input type="hidden" id="simple_spc" name="simple_spc" value="4460040" />
  <script type="text/javascript">
  document.getElementById("si" + "mple" + "_spc").value = "4460040-4460040";
  </script>
<div>


<script>
	var recaptchaIsEnterprise = false;
		 var recaptchaV2Key = "6LcG_TcUAAAAAKAVgwgW39ujc9OCjXSoQYFIA-Su";

</script>

	<input type="hidden" class="js-recaptcha-input" name="cdo-captcha-response" value="" data-div-id="656a2d0e-20ad-4748-9232-8967844776f0" data-processed="false" />
	<div class="js-recaptcha-wrapper" id="656a2d0e-20ad-4748-9232-8967844776f0"></div>	
</div></form></div>
<div class="center small">
	<img valign="absbottom" src="https://w2.chabad.org/images/global/icons/lock.gif" width="16" height="16" alt="Secure"> This page uses TLS encryption to keep your data secure.
</div>
	<div class="break_floats"></div>
	

<div class="content-footer">
	
	
	
	
		<div class="section-articles below-article clearfix" id="MoreInSection" data-list-name="more in this section">
			<h2 class="below-article__title">More in this section</h2>
			<div class="bs-container">
				<div class="bs-row">
					
		<div class="section-articles__column col-md-6 ">
			<ul class="small-links small-links--orange">
				
		<li class="small-links__item ">
			
			<a class="link_item" href="/templates/articlecco_cdo/aid/4457925/jewish/New-Student-Enrollment.htm" data-aid="4457925">New Student Enrollment</a>
		</li>
		
	
			</ul>
		</div>
	
				</div>
			</div> 
		</div>
	
		

	
	
</div>
	</article>

		</div>
	</div>
</div>
						
						<div class="break_floats"></div>
						
					</div>
				</div>
				
				
				
			</div>
			
			<!-- BEGIN FOOTER --></div></div>

</div>
<div id="border_bottom"></div>
</div>
</div>
<!-- END FOOTER -->
		</div>
		
		<aside class="page-tools-sidebar js-page-tools-sidebar hide_for_print">
<div class="page-tools js-page-tools-menu">
<div class="page-tools__section page-tools__section--share">
<a class="page-tools__tool js-share-popup page-tools__tool--facebook" data-share-url="https://www.facebook.com/dialog/share?app_id=188669250943&amp;display=popup&amp;href=https%3a%2f%2fwww.chabadneshama.com%2ftemplates%2farticlecco_cdo%2faid%2f4460040%2fjewish%2fReturning-Student-Renewal-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dFB">
				<i class="fa fa-facebook"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--twitter" data-share-url="https://twitter.com/intent/tweet?text=Returning+Student+Renewal+Form+-+Chabad+Neshama+Center&amp;url=https%3a%2f%2fwww.chabadneshama.com%2ftemplates%2farticlecco_cdo%2faid%2f4460040%2fjewish%2fReturning-Student-Renewal-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dtwitter&amp;via=Chabad">
				<i class="fa fa-twitter"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--whatsapp d-lg-none js-share-whatsapp" data-share-url="whatsapp://send?text=Returning+Student+Renewal+Form+-+Chabad+Neshama+Center https%3a%2f%2fwww.chabadneshama.com%2ftemplates%2farticlecco_cdo%2faid%2f4460040%2fjewish%2fReturning-Student-Renewal-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dwhatsapp">
				<i class="fa fa-whatsapp">
					<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 50 50" fill="#128c7e" width="1em" height="1em"><path d="M25 2C12.318 2 2 12.318 2 25c0 3.96 1.023 7.854 2.963 11.29L2.037 46.73c-.096.343-.003.711.245.966.191.197.451.304.718.304.08 0 .161-.01.24-.029l10.896-2.699C17.463 47.058 21.21 48 25 48c12.682 0 23-10.318 23-23S37.682 2 25 2zm11.57 31.116c-.492 1.362-2.852 2.605-3.986 2.772-1.018.149-2.306.213-3.72-.231-.857-.27-1.957-.628-3.366-1.229-5.923-2.526-9.791-8.415-10.087-8.804-.295-.389-2.411-3.161-2.411-6.03s1.525-4.28 2.067-4.864c.542-.584 1.181-.73 1.575-.73s.787.005 1.132.021c.363.018.85-.137 1.329 1.001.492 1.168 1.673 4.037 1.819 4.33.148.292.246.633.05 1.022s-.294.632-.59.973-.62.76-.886 1.022c-.296.291-.603.606-.259 1.19s1.529 2.493 3.285 4.039c2.255 1.986 4.158 2.602 4.748 2.894.59.292.935.243 1.279-.146.344-.39 1.476-1.703 1.869-2.286s.787-.487 1.329-.292c.542.194 3.445 1.604 4.035 1.896.59.292.984.438 1.132.681.148.242.148 1.41-.344 2.771z"/></svg>
				</i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--pinterest d-none d-lg-block" data-share-url="http://pinterest.com/pin/create/button/?url=https%3a%2f%2fwww.chabadneshama.com%2ftemplates%2farticlecco_cdo%2faid%2f4460040%2fjewish%2fReturning-Student-Renewal-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dpinterest&amp;description=Returning+Student+Renewal+Form+-+Chabad+Neshama+Center">
				<i class="fa fa-pinterest"></i>
			</a>
<a class="page-tools__tool" onclick="showEmailLayer(this);">
<i class="fa fa-envelope"></i>
</a>
</div>
<div class="page-tools__section page-tools__section--other js-page-tool-other">
<div class="page-tools__tool popover-parent d-lg-block">
<div class="popover popover--right align_left nowrap">
<div class="popover__content">
<label class="bold bottom_margin block">
Print Options:
</label>
<form class="vcenter" name="print-form" onsubmit="coPrint(event, 3298105);return false;">
<div>
<label><input type="checkbox" name="print-green"><span title="Save paper and ink">Print without images <i class="fa fa-leaf text-green"></i></span></label>
</div>
<br/>
<div class="center">
<button class="co-button page-tools__print-button">Print</button>
</div>
</form>
</div>
</div>
<i class="fa fa-print"></i>
</div>
</div>
</div>
<div class="js-fab-wrapper fab-wrapper">
<div class="fab">
<i class="fab-icon"></i>
</div>
</div>
</aside>
<!-- END CACHE -->
	</div>

				<div class="break_floats"></div>
			</div>
		</div>
	</div>
	<div id="footer">
		
	

		<div class="wrapper body_container">
			
				<div class="g960 footer_family_text bottom_padding">
					
		<div class="footer_container footer_text copyright_text">
			<div class="bottom_padding clear_float">
				<img class="footer_hr" src="https://w2.chabad.org/images/global/spacer.gif" vspace="12" width="100%" height="1" /><br />
				
				<div class="footer_inner_container clearfix">
					

					


	<div class="footer3"><b>A Project of Chabad Neshama | 311 Seabreeze Av. | Brooklyn, NY 11224 | 347-702-8196</b></div>
	<img src="https://w2.chabad.org/images/global/spacer.gif" width="1" height="6" border="0" /><br />




Powered by <a href="https://www.chabad.org/" target="_new" class="">Chabad.org</a> &copy; 1993-2026 <a href="/4026210" target="_blank" class="privacy-link">Privacy Policy</a>




					
				</div>
			</div>
		</div>
	


<div class="cs-f-social-icons">
	
			<a href="https://www.facebook.com/255018744519712" class="fa fa-facebook facebook_homepage" title="Facebook"></a>
		
</div>
	

				</div>
			
		</div>
	</div>

	
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery-latest.min.js?g=40&v=278824AF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery/jquery.inputmask.min.js?g=40&v=BF33D3B4"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/co/dist/CoLib.js?g=40&v=98C851E4"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/WebComponents/bundles/magen-cdo-global.js?g=40&v=41844740"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/sites6.js?g=40&v=E04072E1"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/primarynavigation.js?g=40&v=76ABCD73"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/scroller.js?g=40&v=AE99E00D"></script>
<script type="text/javascript" src="/scripts/js/templates/modules/sitewideticker.js.asp?campaignid=4176&template=8533&sc=topbar"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/fundraisingCountDown.js?g=40&v=CB0AFCAD"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/BetaFeedback.js?g=40&v=2A22CA16"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/multimedia/infolayer.js?g=40&v=ED1B8531"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/forms/userform.js?g=40&v=E69144BF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/article/comments/reply-form-controller.js?g=40&v=DC70C970"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/commentsloader.js?g=40&v=AD6AAB79"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/minisites.js?g=40&v=F38E4DA5"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/subscribeprompt.js?g=40&v=86D84DC2"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/FormDecoder.js?g=40&v=83AF6F1A"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/modules/pagetools.js?g=40&v=930B07AB"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/deprecated.js?v=D506A83E&g=40"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/OverrideJSDocumentWrite.js?g=40&v=9A0227AA"></script><script>$j = $j.fn ? $j : jQuery;$j(()=>{$q.forEach(f=>{try{f.call(window);}catch(ex){console.error(ex);}});})</script>
	

<script  language="javascript" type="text/javascript"> Co.Settings      = {CacheClassName:'js-cache-default',MosadName:'Chabad Neshama Center'}; Co.ArticleId     = '4460040';Co.SectionId     = 2623882;Co.PartnerSiteId = 0;Co.SiteId        = 156;Co.IsMobilePage  = false;Co.IsResponsive  = false;Co.DbDomain      = 'ChabadNeshama.com';Co.LanguageCode  = '';Co.LoginStatus   = 'None';</script>

    

</body>
</html>