Student Name - English and Hebrew if known (using English letters) *
Your answer
Student birthdate *
MM
/
DD
/
YYYY
Student grade for fall of 2022 *
Your answer
Has student been in religious school before, and if so, where? *
Your answer
Family School (grades 3, 4, 5, 6) or traditional school? *
Student cell (only provide if teachers have permission to contact student; parents copied on all correspondence)
Your answer
Student email (only provide if teachers have permission to contact student; parents copied on all correspondence)
Your answer
For trimester 1 (September through November) please choose in-person or remote - GRADE 6 ONLY * note that we cannot have remote learning unless 4 or more students are registered. *
Sibling names, grades and or ages (for below Kindergarten) If none, type NA. *