KESHER SHALOM REGISTRATION
Please use this form to register all children from your family.
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Adult 1 Name *
Adult 1 Email *
Adult 1 Phone Number *
Adult 2 Name
Adult 2 Email
Adult 2 Phone Number
Address with Zip Code
Additional Adults who may be involved with Kesher:
Child 1 Name *
Child 1 Age and Grade *
Child 2 Name
Child 2 Age and Grade
Child 3 Name
Child 3 Age and Grade
What should we know in order to provide your child(ren) with the best possible learning environment? For example, favorite activities, individual learning needs, food allergies, etc.
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