Hebrew School Registration
Parent First Name *
Your answer
Parent Last Name *
Your answer
Email Address *
Your answer
Cell Phone
Your answer
Home Address (for Birthday Gift)
Your answer
Child 1 Name *
Your answer
Child 1 Birthday *
MM
/
DD
/
YYYY
Child 2 Name
Your answer
Child 2 Birthday
MM
/
DD
/
YYYY
Child 3 Name
Your answer
Child 3 Birthday
MM
/
DD
/
YYYY
Monthly Hebrew School Contribution Amount (Recommended $36 per month)
Comments/Questions
Your answer
Best time to call to arrange payment
Time
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