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Bruriah Open House Registration Form
We look forward to seeing you on
Sunday, November 8th at 10:00 am
!
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Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Current Grade
*
Your answer
Current School
*
Your answer
Email Address
*
Your answer
Home Phone Number
Your answer
Student Cell Phone Number
Your answer
Street Address
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
In order to curate a personalized experience for you at our open house, please select all of the following that you would be interested in exploring here at Bruriah:
Accelerated /Advanced Courses
Annual Student Musical
Annual Student Play
Art
Basketball
Chessed
Chidon HaTanach
Creative Writing
Debate Team
Engineering/STEM/CIJE
Envision Shakespeare
Israel Advocacy
"MAPS"- Student Chavrusa Learning
Mock Trial
Music
Poetry Out-Loud
Publications
Softball
Soccer
Student Government
Swimming
Torah Bowl
Tzedakah
Volleyball
Wordwatch/Shmirat Halashon
Mother's Title
*
Mrs.
Ms.
Dr.
Mother's First Name
*
Your answer
Mother's Last Name
*
Your answer
Mother's Email Address
*
Your answer
Mother's Cell Phone
*
Your answer
Father's Title
*
Mr.
Rabbi
Dr.
Father's First Name
*
Your answer
Father's Last Name
*
Your answer
Father's Email Address
*
Your answer
Father's Phone Number
*
Your answer
A copy of your responses will be emailed to the address you provided.
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