BMC Registration 2024-25

  • Parents Information

  • Student Information

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  • Accident, Privacy & Field Trip Declaration

  • Accident: As the parent(s) or legal guardian of [child(ren) listed], I/we authorize any adult acting on behalf of Chabad of Danville & S Ramon to 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, Chabad personnel will try, but are not required to communicate with me prior to such treatment.  

    Trips & Outings: I hereby give permission for my child to attend and participate in all trips and outings organized as part of the program.  

    Privacy: I hereby give permission for my child’s photographs/videos to be used for educational or promotional purposes, which include but are not limited to, brochures, website and social media. I understand that I can withdraw my consent at any time. 

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  • Payment

  • $0.00
    Credit Card
    Kindly mail the check to: P.O. Box 3541 Danville, CA 94526 USA and email a copy via [email protected].

    Also note in the Memo as: BMC Registration
    Billing Address
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