Enroll | Jewish Center of the Hamptons

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Full Name (Parent/Guardian 1)*
First Name Last Name
Mobile Phone (Parent/Guardian 1)*
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Full Name (Parent/Guardian 2)
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Email Address (Parent/Guardian 2)
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hamptons Address (if different from Mailing Address)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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First Last
Grade (Student 1)*
Semester (Student 1) Member*
- Semester 2 ($500)
Semester (Student 1) Non-Member*
- Semester 2 ($750)
Full Name (Student 2)
First Last
Grade (Student 2)
Semester (Student 2) Member
- Semester 2 ($500)
Semester (Student 2) Non-Member
- Semester 2 ($750)
Full Name (Student 3)
First Last
Grade (Student 3)
Semester (Student 3) Member
- Semester 2 ($500)
Semester (Student 3) Non-Member
- Semester 2 ($750)
Total
$0.00
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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No child will be denied the opportunity to participate and learn with Gates of Jewish Learning due to financial constraints.

To arrange a payment plan, or if you require financial assistance, please contact Rabbi Joshua Franklin or 631-324-9858. All arrangements will be made in the strictest confidence.
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