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Shana-Alef Important Information
It is very important for the yeshiva to have the information requested in this form. Please take a minute and fill out all of the details. Thank you.
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First Name
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Last Name
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Israeli cell phone number
Your answer
Passport number
Your answer
Israeli health insurance provider
Your answer
Health insurance number
Your answer
Please enter an emergency ISRAELI contact name and number.
Your answer
Please enter an emergency AMERICAN contact name and number.
Your answer
Do you have any food allergies?
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Yes
No
If you answered yes, please describe the allergy and how severe it is.
Your answer
Is there anything else you feel the yeshiva should know?
Please note that this information will not be shared with any students or anyone outside of the yeshiva.
Your answer
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