Hebrew School Registration

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* Parent #1 First Name

* Parent #1 Last Name

* Relationship to Student(s)

Cell Phone

Work Phone

Parent #2 First Name

Parent #2 Last Name

Relationship to Student(s)

Parent # 2 Cell Phone

Parent #2 Work Phone

* Home Address for Student(s)

* City, State, Zip

* Home Phone

* May we take & use your child(ren)'s photo?

* Student #1 First Name

* Last Name

Hebrew Name

* Date of Birth

* Public School Grade 0-12

* Child's email for online homework

Allergies to FOODs

Allergies to MEDICINES

Child's Doctor

Doctor's Phone

Learning or Behavior Issues

My child has an IEP (and I will share it with the Ed Dir.)

If no more children skip to Financial Area

Student #2 First Name

Student #2 Last Name

Student #2 Hebrew Name

Date of Birth

Public School Grade (0-12)

Child's email for Online Homework

Allergies to FOODs

Allergies to Medicines

Child's Doctor

Doctor's Phone

Learning or Behavior Issues

This child as an IEP (and I will share it with the Ed Dir.)

If no more children skip to the Financial Area.

Student #3 First Name

Student #3 Last name

Hebrew Name

Date of Birth

Public School Grade (0-12)

Child's email (for Online Homework)

Allergies to FOODs

Allergies to Medicines

Child's Doctor

Dr's Phone

Learning or Behavior Issues

This child has an IEP (which I will share with the Ed Dir)

If no more children skip to Financial Area

Student #4 First name

Student #4 Last name

Hebrew Name

Date of Birth

Public School grade (0-12)

Child's email for Online Homework

Allergies to FOODs

Allergies to Medicines

Child's Doctor

Dr's Phone

Learning or Behavior Issues

This child has an IEP (which I will share with the Ed Dir)

# of student K & 1

Pay Books & Materials fees for K & 1st graders ($90 each). Must be paid with registration.

# of 2nd graders

Pay Books & materials fees for 2nd graders ($118 each). Must be paid with registration.

# of Third-Seventh Grade MEMBER students

Pay Books & Materials fees for 3rd-7th graders ($118 each). Must be paid with registration.

# of Third-Seventh Grade NON-MEMBER

Pay Books & Materials fess for 3rd-7th graders non-member rate ($130 per student). Must be paid with registration.

# of 8th-10th graders

Pay Books & Materials fess for 8th - 10th graders ($45 each). Must be paid with registration.

# of 11th-12th graders

Pay Books & Materials fees for 11th-12th graders ($25 each). Must be paid with registration.

Tuition Options

Gan & 1st Grades meet Sundays 9-11am

2nd grade meets Sundays 9am-noon

3rd-6th grades meet Sunday 9am-noon and Tuesdays 4:15pm-6pm.

7th grade meets Tuesdays 5:45pm-8:30pm and Thursdays 4:15pm-6pm.

8th-10th grades meet Tuesdays 6pm-8:30pm.

11th-12th grades meet once a month on Sundays from 11am-noon.

Mon, May 6 2024
28 Nisan 5784

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Mon, May 6 2024 28 Nisan 5784