Torah Lishmah Community - Returning Student Registration 2017-18
Please complete the brief registration below by March 1, 2017 in order for us to prepare for the upcoming school year.
Email address
Family Name
Please use the name you would like listed in our school directory
Your answer
Can we include your information in our school directory?
This will be distributed to school families only
Required
Please fill out the information below for Child #1
Name
Your answer
Hebrew Name
Your answer
Grade and School (include School District)
Your answer
Please fill out the information below for Child #2
Name
Your answer
Hebrew Name
Your answer
Grade and School (Include School District)
Your answer
Please fill out the information below for Child #3
Name
Your answer
Hebrew Name
Your answer
Grade and School (Include School District)
Your answer
Is the parent information for parent #1 the same as last year?
(address, home and cell phone numbers & email)
Required
If you answered "no" to the above question, please provide any new information
(New address, home phone, cell phone or new email)
Your answer
Can we send you text messages
Is the parent information for parent #2 the same as last year?
Name
If you answered "no" to the above question, please provide any new information
(New address, home phone, cell phone, or email)
Your answer
Can we send you text messages?
If we have to get in touch with you in the event of an emergency, please list your family's most reachable phone numbers
Your answer
Please provide emergency contact information other than the numbers above.
Name, relation and phone number
Your answer
Emergency Contact #2
Name & Relationship (other than parent)
Your answer
Phone
Your answer
Your answer
Please check that you receive a confirmation right after submitting the form.
If you do not receive a confirmation, you will need to go back and fill the form out in Google Forms, sometimes it does not work within the body of the email. Please contact me with any questions. Thank you! Morah Karen
ksmorris92@gmail.com or 412-334-3124
Please complete the captcha before submitting the form.
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