| Beth-El Zedeck

2025-2026 Registration inquiry

Welcome to 2025-2026 registration at The Muma and Grandpa Early Childhood Center at Congregation Beth-El Zedeck.

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Child's Name

First

Last

Child's Date of Birth

Child's age as of August 1, 2025 (years and months)

Parent 1

Name

First

Last

Preferred Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent 2

Name

First

Last

Preferred Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

General Information

Please include any additional information we should know.

Class Options

Choose age group of your child.

Currently, the 3 months + class is on a waitlist. The 12 months + class has spots available on Mondays and Fridays only. If you would like additional days, please join the waitlist. To be placed on a waitlist, visit www.bez613.org/eccwaitlist.

Early and After Care

After Care

Mark day(s) you wish to have after care for your child, which is anytime between 3:00 and 6:00 p.m. Monday-Thursday and 3:00 and 5:30 p.m. Friday.

Payment

Nonrefundable Deposit

Price: $150.00

Processing Fee

Total

$154.50

Credit Card Processing Fees Included

Name on Card

First

Last

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Authorize.Net

Card Number

Expiration

Security Code