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Hebrew School Registration
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Parent info
FIRST NAME
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Your answer
LAST NAME
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Your answer
EMAIL
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Your answer
STREET ADDRESS
*
Your answer
CITY
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Your answer
POSTAL CODE
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Your answer
STATE/PROVINCE
*
Your answer
MOBILE NUMBER
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Your answer
HOME PHONE NUMBER
Your answer
HOW DID YOU HEAR ABOUT US?
Your answer
IS JEWISH
*
YES
No
DID ANY OF THE PARENTS OR GRANDPARENTS CONVERT?
*
NO
YES
Parent 2
FIRST NAME
*
Your answer
LAST NAME
*
Your answer
STREET ADDRESS
*
Your answer
CITY
*
Your answer
POSTAL CODE
*
Your answer
STATE/PROVINCE
*
Your answer
MOBILE PHONE NUMBER
*
Your answer
HOME PHONE NUMBER
Your answer
IS JEWISH
*
YES
No
DID ANY OF THE PARENTS OR GRANDPARENTS CONVERT?
*
NO
YES
CHILD
FIRST NAME
*
Your answer
LAST NAME
*
Your answer
GENDER
*
Your answer
NAME OF SCHOOL
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
HEBREW NAME
Your answer
BIRTH DATE BEFORE SUNSET
*
YES
No
Sign Up for the Whole Year $750
YES
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Sign Up By Semester ($300 per Semester)
HEBREW SCHOOL (FALL) - BEGINS Oct. 15TH, 2023
HEBREW SCHOOL (WINTER) - BEGINS Jan. 7th, 2023
HEBREW SCHOOL (SPRING) - BEGINS April. 7TH, 2023
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CHILD 2
FIRST NAME
*
Your answer
LAST NAME
*
Your answer
GENDER
*
Your answer
NAME OF SCHOOL
*
Your answer
BIRTH DATE
*
MM
/
DD
/
YYYY
HEBREW NAME
Your answer
BIRTH DATE BEFORE SUNSET
*
YES
No
Sign Up for the Whole Year $750
Yes
Sign Up By Semester ($300 per Semester)
HEBREW SCHOOL (FALL) - BEGINS Oct. 15TH, 2023
HEBREW SCHOOL (WINTER) - BEGINS Jan. 7th, 2023
HEBREW SCHOOL (SPRING) - BEGINS April. 7TH, 2023
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I ACCEPT THE TERMS AND CONDITIONS
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