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TBS Religious School Registration 2017-18
Basic Information Page
Child's Surname :
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Child's given name:
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Child's Hebrew Name:
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Child date of birth:
MM
/
DD
/
YYYY
Grade as of 9/17
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Public School Attended as of 9/17
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Custodial Parent (s):
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Residence Address
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Town
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Zipcode:
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Home Phone
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Contact Parent Work Phone:
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Mother Cell Phone:
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Father Cell Phone:
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Contact parent(s) email(s)
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Non Custodial Parent Contact Information:
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Best contact for school cancellation:
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Best emergency contact phone: (school hours)
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