5784 / 2023-2024 Registration Form

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The Rabbi Jacob H. Epstein School of Jewish Studies, Inc. admits students of any race, color, national and ethnic origin in all the rights, programs and activities of the School. It does not discriminate on the basis of race, color, gender, age, disability, national origin, or any other class of individuals protected by state and federal law, in any aspect of access to admissions, employment, financial aid, treatment of students in programs and activities, and other school administered programs.

FIRST STUDENT'S INFORMATION

Student's First Name *

Student’s Middle Name

Student's Last Name *

Student's email *

Student's preferred pronouns:

Student's Home Address *

City *

Zip Code *

Home phone number

The Epstein School would like to text your student occasional reminders and updates. *

I will allow texts to my student from Epstein.

I opt my student out of receiving texts from Epstein.

Student's cell number

Birthdate *

YYYY

Student’s school *

Grade *

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