Printed from

Event Payment Form

Event Payment Form

Hebrew Academy Event Payment Form

Please complete each space on this form so we may process your payment e xpeditiously.  Thank you so much! 

Event Payments:

I would like to pay for the following event: 

Event Name: 

Event Date:

Total $

# Adults:  # Children: # Guests: or Family Fee:


First Name
Last Name
Address Line 1
Address Line 2
Postal Code

 Card Number
 Expiration Date

Best Telephone Number to Reach you: 

Email Address
Reconfirm Email Address

Academy Youth Service Organization EIN #33-0688036

Thank you very much for your payment and support of the Hebrew Academy.  We appreciate your participation and support very much!

Secure This page uses 128 bit SSL encryption to keep your data secure.

Hebrew Academy Preschool

Best Jewish Infant care through Pre-K

Silver Gan Israel

Jewish Day Camp - Huntington Beach

Donate & Support

Upcoming Event - Art Calendar