<p> Forest Hills Jewish Center Nursery School and Kindergarten 106-06 Queens Blvd., Forest Hills, N.Y. 11375 Tel: (718) 263-7000 ext. 220 Mommy and Me Fall 2013</p><p>The Mommy & Me class is an educational program of the Forest Hills Jewish Center. It is here we begin to meet the challenge of making your child intimately rooted in and connected to the Jewish experience in its totality, and thus we accept only Jewish children into the program.</p><p> Parent-Child Interactive Group  Age Appropriate Program with Crafts and Music  Gym & Playground Time  Holiday Celebrations Ages 16-24 Months</p><p>Tuesdays and Thursdays </p><p>At 9:15am – 10:45am</p><p>Tuesdays (13 Classes) Thursdays (11 Classes)</p><p>September – 17th & 24th</p><p>October – 1st, 8th, 15th, 22nd & 29th October – 3rd, 10th, 17th, 24th & 31st </p><p>November – 5th, 12th, 19th & 26th November – 7th, 14th & 21st</p><p>December – 3rd & 17th December – 5th, 12th & 19th </p><p>Prices</p><p>Tuesdays Thursdays Both Days</p><p>Member Price: $375 $315 $690</p><p>Non-member Price: $415 $350 $765 Forest Hills Jewish Center – Nursery School and Kindergarten 106-06 Queens Blvd.; Forest Hills, NY 11375 Tel: (718) 263-7000 Ext. 220</p><p>Mommy and Me – Fall 2013</p><p>Child’s Name ______Male  Female </p><p>Date of Birth______Hebrew Name ______</p><p>Father’s Name ______Last First MI Hebrew Name</p><p>Mother’s Name______Last First MI Hebrew Name</p><p>Home Address______|___|______Number/Street Apt. # City/State/Zip Home Phone#</p><p>Mother’s Cell ______Father’s Cell ______</p><p>Caregiver’s Name ______Caregiver’s Cell ______</p><p>Primary E-mail for Communication ______</p><p>Moms and/or Caregivers are expected to remain with their children.</p><p>All fees are non-refundable. </p><p>The Forest Hills Jewish Center reserves the right to terminate this agreement at its discretion when it deems such action to be necessary. In such an event, tuition will be refunded on a prorated basis. </p><p>We, the undersigned, hereby enroll our child in the Forest Hills Jewish Center Mommy & Me Program beginning September 17th, 2013. The undersigned are the parents of this child, who is Jewish (a Jewish child is one whose mother is Jewish). Should you have any questions pertaining to the religious status of your child because of adoption or conversion, we request you discuss this with the Rabbi of this synagogue.</p><p>______Parent #1 Signature Parent #2 Signature Date</p><p>Please make a selection: ______ Tuesdays Director of Early Childhood Education Date  Thursdays  Both Days Office Use Only______MasterCard [ ] Visa [ ] Discover [ ] or Dated Check(s) [ ]</p><p>Credit Card #: ______Expiration Date: ______Sec:</p><p>______Total Amount: $______</p>