Yeshivas Kayitz Application
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PART ONE OF FIVE.
ABOUT THE TALMID
First name *
Last name *
Nickname
Jewish birthdate *
Month, Day, Year
Civil birthdate *
MM
/
DD
/
YYYY
House phone number *
Address *
How does the Talmid learn best? (please ask your son before answering this question) *
How is the talmid's social life? *
Is he ready for
(Check all that apply)
Who is it best for us to be in contact with? *
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