Register for Hebrew School

HEBREW SCHOOL REGISTRATION 2022-23
Child's Name*

First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
When was he/she born? (to calculate their Jewish Birthday :)

morning early afternoon late afternoon/evening
City of birth (to help calculate their Jewish Birthday :)
School*
Previous Jewish Education*
Grade entering*

Address*

Additional notable Information
Parents Information
Mother's Name*

First Name Last Name
Mother's Jewish Heritage*
Mother's Cell

Area Code Phone Number
Father's Name*

First Name Last Name
Father's Jewish Heritage*
Father's Cell

Area Code Phone Number
Tuition
I would like to register for
Total

$0.00
How would you like to pay?

I would like to pay the full amount in the beginning of the school year. I would like to pay monthly- we will reach out to you to set this up. (click "other" in payment) I will email [email protected] to discuss payments.

Payment

Credit Card Other

Postal / Zip Code

Country

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HEBREW SCHOOL REGISTRATION 2022-23