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This is the form to register your child for Children's Fire Academy OR Childcare. Please carefully read the information and requirements below.

NEXT SEMESTER FOR THE TSIDKENU KIDS FIRE ACADEMY STARTS FEBRUARY 2024!!! 


Classes are held on TUESDAY nights from 6:30pm-8:30pm. Location is Church Tsidkenu Offices located at 930 Derby St., San Diego, CA 92114. Kids Fire Academy is Available to children of FA student's and Alumni that are ages 8-12 years old. Your children will be trained in the same things their parents are learning but in a more simple way they can receive and relative to their age group. Prices for Kids Fire Academy is below.

  • The cost for One child is 5 monthly payments of $50/month for a total of $250.
  • To enroll 2 or more children the cost is 5 monthly payments of $100/month for a total of $500.

Requirements for Students in Children's Fire Academy are below.

  • Weekly Reading plan and homework
  • Must attend a minimum of 10 outreaches within the 18 week semester. Student must be accompanied by a parent at outreach



First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Childcare Registration

How many Children are you registering for Childcare?

List the Names and ages of the child/children you are registering.

Does your Child/children have any special challenges or health issues that would require extra care or attention from care workers? If so, please explain.
Kids Fire Academy Registration

How many Children are you registering for the Kids Fire Academy on Wednesday nights?

What are the names and ages of each of your children?

Does your Child/children have any special challenges or health issues that FA teachers should be aware of? If so, please explain.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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