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A Historic Progressive Conservative Congregation in Valley Village, CA
A Dynamic Jewish Early Childhood Center Serving Children Ages 6 Weeks to Entering Pre-K
A Jewish Day School serving students in Grades TK-6
A Historic Progressive Conservative Congregation in Valley Village, CA

School's Out Camp Day: The Clubhouse

Tuesday, November 11, 2025 • 20 Cheshvan 5786

9:00 AM - 5:00 PMYouth Lounge


Clubhouse School's Out Camp Day:
Clubhouse & Kesher Student Registration Form
November 11th, 2025
9:00 am-5:00 pm 


If applicable
If applicable
If applicable
Only the first field is required

Please provide the following parent/guardian contact information for your student(s)

Parent/Guardian 1


Parent/Guardian 2

Please provide us with the information for persons authorized to pick up your student(s)

Please list at least 1 person that is NOT a parent/guardian. 

Payment and Signature
By signing below, you are enrolling your child in The Clubhouse Schools Out Camp Day for the November 11th, 2025. Enrollment is not complete without:
  • Submission of this form
  • Payment
   1 child ($60)
   1 kid ($90)

 

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Tue, November 4 2025 13 Cheshvan 5786