Yeshivas Erev Application Form
Please fill out this form to register your son into Yeshivas Erev
Talmid's Information
First Name (English Spelling) *
Last Name (English Spelling) *
Name Called By (English Spelling)
שם *
שם משפחה *
Month of Hebrew Birthday *
Date of Hebrew Birthday *
Yeshiva Information
Yeshiva *
Grade *
Teacher (Last Name) *
Parents' Contact Infomation
Home Address *
Home Phone Number *
Father's Cell Phone Number *
Mother's Cell Phone Number *
Father's Email Address *
Mother's Email Address *
Send important updates and schedule changes to... *
Emergency Contact
In a case of an emergency, we will contact this person if we can not get in contact with the Talmid's Parents.
Yeshivas Erev Programs
To view the location of all the Yeshivas Erev programs for each grade, visit yeshivaserev.org/locations
*
The Yeshivas Erev program my son will be attending.
Yeshivas Erev ID Card
With his Yeshivas Erev ID Card, your son can receive specials in over 20 stores across Crown Heights. In order for your son to receive his free Yeshivas Erev ID Card we need a picture of him. If this is his first year in Yeshivas Erev he will need to get his picture taken, for date and location info see yeshivaserev.org/calendar. If you lost your card from last year you can receive a new card for free without your picture being taken again.
*
Rules and Regulations
Rules and Regulations *
Required
Parent's Signature *
Sponsorship
Our Program is free of charge. We run our program with the help of our generous supporters. Our expenses include: Salary of 27 devoted staff, weekly raffles & Seforim awards. To donate please visit yeshivaserev.org/donate
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