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WAITLIST Englilush 2022-23 - Tzahala
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* Indicates required question
First Name of Child (English):
*
שם פרטי בלועזית
Your answer
Last Name of Child (English):
*
שם משפחה בלועזית
Your answer
Gender
*
מין
Male
Female
Name of School:
*
שם בית ספר:
Tzahala
Hamashtela
Grade:
*
עולה לכיתה
Choose
Aleph
Bet
Gimel
Daled
**For Gimel/Daled Only** Number of Days Per Week Registering:
Choose
5 days (1780nis excluding transportation and/or membership discount)
4 days (1530nis excluding transportation and/or membership discount)
3 days (1310nis excluding transportation and/or membership discount)
N/A
Parent's Name (Primary Contact):
*
שם ההורה (איש הקשר הראשי)
Your answer
Parent's Cell Phone (Primary Contact):
*
טלפון סלולרי ההורה (איש הקשר הראשי)
Your answer
Primary E-mail Address:
*
כתובת דואר אלקטרוני (איש הקשר הראשי)
Your answer
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