Hebrew School Registration

This Form is ONLY for students who have previously attended (or are currently attending) our Hebrew School. To register a new student please fill out the regular registration form on our website
Student Information
How many students are you registering*
Maximum 2 children per form
Child's Full Name*
First Name Last Name
Grade entering in September 2024*
Second child's Full Name
First Name Last Name
Grade entering in September 2024
Has any information changed for your family?
If yes, please check the box which has changed and submit new information in the field below it. If not , please skip the next two fields.
Please Check fields which have changed.

Parents Cell PhoneParents EmailEmergency ContactMedication / AllergiesAddressOther
Please submit the New or changed information here:
I allow my email to be shared with fellow class parents for organizational purposes

I agree
Payment
PRICE SHOWN IS A LIMITED TIME EARLY BIRD SPECIAL RATE!
Total

$0.00

Payment*

Credit Card Other (Check/Cash)

Postal / Zip Code

Country

If you are unable to pay please call our office for a scholarship. We will not turn a child away because of a lack of funds.
Should be Empty:

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