Registration for New Club Members

  • This form is for new Jewish STEM Club or Super Jew members, if you are re-enrolling a member please click here

    Please fill out ALL applicable fields of this form.  

    Payment will only be processed after acceptance. 

    If you have any questions or concerns you'd like to discuss with us, please contact us at: [email protected] or 650-273-6273.  

    No synagogue membership required! 

  • Student Information

  • Child 1

  • Child 2

  • Child 3

  • Parent Information

  • Emergency Contact Information

  • Payment Information

    Scholarships are available. If a scholarship or rate reduction or payment modifications are needed please email: [email protected] or call 650-278-7576
  • $0.00
    Credit Card
    Please send check to: 458 San Mateo Avenue
    San Bruno, CA 94066 USA
    Billing Address
  • Disclaimer

  • As the parent(s) or legal guardian of the above child/ren, I/we authorize any adult acting on behalf of Chabad of Daly City to hospitalize or secure treatment for my/our child/ren, I/we further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad of Daly City personnel will try, but are not required, to communicate with me/us prior to such treatment. I/we hereby give permission for my/our child/ren to participate in all school activities, join in class and school trips on and beyond school properties and allow my/our child/ren to be photographed while participating in Chabad of Daly City activities and for the photos to be used by Chabad of Daly City. I/we also understand that all liability and costs resulting from damage to property and/or personal injury caused or attributable to my/our child/children will be my/our responsibility and I/we agree to fully indemnify and save Chabad of Daly City and its associates, teachers and agents harmless therefrom. I/we consent to Chabad of Daly City's use of our personal information and of our child/children at its discretion in pursuit of school activities. There are no refunds or credits for days missed due to illness, holidays, or family vacations.

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