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Parent Visitation Form
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* Required
Name
*
Your answer
Student you are visiting
*
Your answer
I arrive in Israel on
MM
/
DD
/
YYYY
I will be departing Israel on
MM
/
DD
/
YYYY
I plan on visiting the Yeshiva
*
Yes
No
If yes what date will you be visiting
MM
/
DD
/
YYYY
Do you plan on attending your son's Shiur
Yes
No
Maybe
Clear selection
I plan on taking my son out of Yeshiva
*
Yes
No
If yes what dates will he be joining you
Your answer
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