Sign Up for Jewish Girls Tween Club!! A first ever in North Brooklyn! Contact Information Child(ren)s Full Name* Childs Age* (9-12) Parent First Name* State* Parent Last Name* Zip* Address* Phone City* Email* Cover: $20 Drop- In | $120 for all 7 $ (address above should match card billing address) Card Type Please Select Visa American Express Mastercard Discover Exp. Date Month 01 02 03 04 05 06 07 08 09 10 11 12 Year 2017 2018 2019 2020 2021 2022 2023 Card Number CVV Code Comments This page uses 128 bit SSL encryption to keep your data secure.