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Hebrew School Registration

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IN - PERSON HEBREW SCHOOL REGISTRATION 2024/2025
Child's Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
at Hour Minutes
School*
Previous Jewish Education
Grade entering*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Additional notable Information
Parents Information
Father's Name*
First Name Last Name
Father's Cell*

Area Code Phone Number
Father's E-mail*
Father Have Whatsapp ?*

YesNo
Mother's Name*
First Name Last Name
Mother's Cell*

Area Code Phone Number
Mother's E-mail*
Mother Have Whatsapp ?*

YesNo
Payment
Registration Fee / In - Person Sunday 10:30am - 12:30 pm

$500
Total

$0.00

I would like to pay today:Full amount$250.00 minimum$

Payment*

Credit Card Other

Postal / Zip Code

Country

I would like to receive news and updates by email
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