Yeshivas Erev Application Form

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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 *

Oholei Torah

ULY in Crown Heights

Ohr Menachem

Darchai Menachem

ULY in Ocean PKWY

Cheder at the Ohel

Other:

Grade *

5th Grade

6th Grade

7th Grade

8th 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 (Kitzur Shulchan Aruch, Mishnayos/Gemoro/Tanya ba'al peh, homework and review on the days learning in Yeshiva).

Yahadus Shiur (a shiur in the "Yahadus Curriculum" as a preparation for the "International Chidon Sefer Hamitzvos").

Mishnayos Shiur (by invitation only).

Yeshivas Erev location for all grades in Beis Avrohom Yitzchok (305 Remsen Avenue) for Talmidim in that part of town.

Coming soon: Yeshivas Erev location for all grades in Kehilas Lubavitch of East Flatbush (460 Lenox Road) for Talmidim in that part of town. As of now this location is closed.

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.

This is my first year in Yeshivas Erev.

I have my card from last year.

I lost my card from last year.

Rules and Regulations

Rules and Regulations *

By enrolling in Yeshivas Erev the applicant agrees to follow Rules and Regulations set forth hereby, and by supervising Yeshivas Erev Staff. The program’s purpose is to provide to the children in our community an enjoyable, safe environment to study. Participation is therefore contingent on following these rules. 1. Must obey instructions of supervising Yeshivas Erev Staff, 2. Remaining in the study area during the entire duration of the program, 3. Leaving the study area as soon as the program is finished. 4. The coupons received for attendance and learning are not to be transferred or sold. If transferred or sold the coupons will be voided.

Required

Your acceptance to Yeshivas Erev depends on the approval of your school principal.

I understand

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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