Hebrew School Registration Form
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Email *
STUDENT INFORMATION
Last Name *
Student 1st Name *
Student Hebrew Name
Birthday
MM
/
DD
/
YYYY
Age *
Grade Attending During 2024-25 School Year
School Attending
House Address *
City *
State *
Zip *
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This form was created inside of Bensalem Kollel Synagogue and Outreach Center.

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