Register Online

JLI Childcare is designed for children 0-5. For older children, please contact us so we can accomodate you.

Our caring and responsible staff will ensure that your child is happy, safe, and well-entertained so that you are able to truly engage and benefit from the Art of Parenting course!

Parents must be registered for JLI "Art of Parenting" - click here to register for the class.   

Child Information
Name
Last
Hebrew Name
DOB             

 

Parent Information
Name of Parent attending JLI "The Art of Parenting"
Parent's Cell Phone
Parent's Email Address
Which day will you be attending the course and bringing your child? Sundays Wednesdays

 

Payment Information
$25 per child for 6 childcare sessions
First Name
Last Name
Billing Address
City
State
Zip
Credit Card Number
CVV
Exp Date  
Amount to be charged: $25

 

Confidential
Does your child have any allergies or other medical condition we should be aware of?
If yes, please describe them and indicate special precautions or care needed. 

 

 

Initial
Name:      Initials: