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Hebrew School Registration 2017/2018
Child 1: Child's First Name
Child 1
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Child's Last Name
Child 1
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Child's Hebrew Name
Child 1 * We can help give your child a Hebrew name.
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Child's Email Address
Child 1
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Name of School Attending
Child 1
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Child's Age - As of September 1, 2017
Child 1
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Child's Birth Date
Child 1
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Grade - As of September 1, 2017
Child 1
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Child 2: Child's First Name
Child 2
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Child 2: Child's Last Name
Child 2
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Child 2: Child's Hebrew Name
Child 2 * We can help give your child a Hebrew name.
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Child 2: Child's Email Address
Child 2
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Child 2: Name of School Attending
Child 2
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Child 2: Child's Age - As of September 1, 2016
Child 2
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Child 2: Child's Birth Date
Child 2
MM
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DD
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YYYY
Child 2: Grade - As of September 1, 2016
Child 2
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Fathers's Name
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Father's Address
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Father's Cell Phone Number
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Father's Home or Work Number
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Father's Email Address
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Father's Occupation
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Mother's Name
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Mother's Hebrew Name
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Mother's Address
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Mother Jewish by:
Mother's Cell Phone Number
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Mother's Home or Work Number
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Mother's Email Address
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The best way to inform me of Hebrew School updates is:
Is there any medical (or any other) information which we should be aware of?
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Emergency Contact Name
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Emergency Contact Number
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Emergency Contact's Relationship
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Payment: I will:
I am willing to assist in school activities - please contact me
Parent's Signature - Parent's Name
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