PAYQUIQ ONLINE :: The Faster Smarter Way to Pay

2023-2024 Gan Katan

Join us in the community room of our Jewish Federation:
114A W. Lime Ave., Monrovia, 91016

Fridays | 9:30 am - 11:30 am

Dates for Spring Semester (2024):

February 9, 23, March 8, 22, April 5, 19 & May 3, 17

(Dates are subject to change, we will notify all registered families of any changes)

Fee: $150 per semester - 8 sessions (scholarships available)

Child(ren)'s Information:

* Child's name

* Child's Birthday

* 2023 - 2024 Gan Katan Sessions

	Spring 2024 semester	$150.00
	Please contact me regarding a scholarship	$0.00

Child's (2) Name

Child's (2) Birthday

Gan Katan | Spring 2024

	Spring 2024 semester	$150.00
	Please contact me regarding a scholarship	$0.00

Parent /Caretaker Information:

* Parent / Caretaker 1 Name

* Cell number:

* Email

Parent 2/ Caretaker 2 Name

Cell Phone

Photo Release

* Occasionally we like to use photos taken during Jewish Federation programs for publicity purposes. If you are ok with that please indicate below. If we intend to use the photo in a print format or with a name included, we will contact you directly for your approval.

Yes, you may use my child(ren)'s photo
No, please do not use my child(ren)'s photo

Would you like to make monthly payments,instead of paying in full today?

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

2023-2024 Gan Katan

Child(ren)'s Information:

Parent /Caretaker Information:

Recurring Payment

Account Details

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Payment Information

Credit Card

Checking Account

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2023-2024 Gan Katan

Child(ren)'s Information:

Parent /Caretaker Information:

Recurring Payment

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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