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Register Online

Register Online

Hebrew School Registration 2017/18
 
Gender
Past Hebrew Lessons
Child 2
Gender
Past Hebrew Lessons
Child 3
Gender
Past Hebrew Lessons
Child 4
Gender
Past Hebrew Lessons
Child 5
Gender
Past Hebrew Lessons
Child 6
Gender
Past Hebrew Lessons
 
 
Parents
Is the natural mother of the child Jewish?
Have there been any conversions or adoptions in the family?
Parent 1
Parent 2
Home
 
Emergency Information
Emergency Contact
Medical and Special Needs Details
Is your child taking permanent medications?
Any known allergies (incl. reactions to medications) and any present medical conditions?
Physician
 
General Information
Other Person Authorized to Pick Up Child
Trips
 
Tuition and Billing
Tuition
Program & Tuition Agreement
 
Payment Information
Payment Method
Credit Card
Program & Tuition Agreement
 
Disclaimer
Disclaimer
 
Additional Comments
Pick Up Service - $225 Fee
Comments
Philanthropic Leadership Circle:
Would you like to join our philanthropic leadership circle that donates $360 to the NY Hebrew scholarship fund?
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