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2020 Twelve and Thirteen Waitlist Form
*** WE ARE FULL ***

Due to overwhelming interest, our program is now at full capacity. As our priority is on delivering a high quality program, we have unfortunately had to close registrations. You are however, invited to register for our waitlist. Please bear in mind that waitlisted enrolments are not guaranteed a spot.

If you have any questions about the program, please head to www.twelvethirteen.org/faqs. If you require assistance please contact us at hello@twelvethirteen.org.
Please indicate which program you are enrolling in. *
Full name of Child *
Your answer
Full name of Parent/Guardian 1 *
Your answer
Parent/Guardian 1 Email Address *
Your answer
Parent/Guardian 1 Mobile phone number *
Your answer
Please list any allergies your child has (or state none)
Your answer
Please list any medical conditions your child has (or state none)
Your answer
Do you give permission for us to use photographs of your child/family for marketing and social media purposes?
Full name of Parent/Guardian 2
Your answer
Parent/Guardian 2 Email Address
Your answer
Parent/Guardian 2 Mobile phone number
Your answer
Parent/Guardian 1 Residential Address
Your answer
Child's School in 2020
Your answer
Child's Year Level in 2020
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Is your child partaking in any other Bar/Batmitzvah program? If yes, please list.
Your answer
How did you hear about Twelve/Thirteen? *
Parent/Guardian 1 Occupation
Your answer
Parent/Guardian 1 Employer
Your answer
Parent/Guardian 2 Occupation
Your answer
Parent/Guardian 2 Employer
Your answer
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