JUDA Registration


  • We are currently accepting application forms for the 2018-2019 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.

    Please note that one registration form per child is needed. We look forward to a wonderful year of learning and growth.

  • Parents Information

  • General Information

  • Emergency information

  • Medical release Form

  • As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad of Lincoln Park's JUDA Program to treat, hospitalize or secure treatment for my child; I further agree to pay all charges for that care and/or treatment.  It is understood that if time and circumstances reasonably permit, JUDA personnel will try, but are not required, to communicate with me prior to such treatment. 

  • at
    Pick a Date
  • Permissions

  • Payment

  • Tuition includes complete year of weekly school, registration & book fees, supplies and snacks. Tuition is non-refundable.

  • $0.00
    Credit Card
    Paypal has been selected. Payment will take place on the next page.
    Billing Address
  • Should be Empty:
Secure This page uses TLS encryption to keep your data secure.