Tuition Options – Alpert Jewish Community Center of Long Beach

Tuition Options

Name of Parent completing this form* *

First

Last

Enrolled Child #1 *

First

Last

Enrolled Child #2

First

Last

Enrolled Child #3

First

Last

Tuition Payment Choice *

Please refund me for the period of July 17th-July 31st.
Please provide a system credit on my account for the period of July 17th-July 31st to be used at a later date
Please use my payment for the period of July 17th-July 31st as a donation to help support our staff during this time.

Are you currently enrolled in the August program? *

YES
NO

Is your child in the Youth Program? *

YES
NO

Phone *

Email *

Signature *

For questions regarding your AJCC Membership please contact Membership Director Shlomit Jackson at sjackson@alpertjcc.org.

Email