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Ben Porat Yosef Open House
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Parent 1 - First and Last Name
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Parent 1 - Email
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Parent 1 - Phone
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Home Address - street, city and state
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Parent 2 - First and Last Name
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Parent 2 Email
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Parent 2 - Phone
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Child's Name
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Child's Date of Birth
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MM
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DD
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YYYY
Child's Grade for the 2021-2022 School Year
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Toddler (2 by 9/30/2021)
Nursery (3 by 9/30/2021)
Pre-K (4 by 9/30/2021)
Kindergarten (5 by 9/30/2021)
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
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If you are looking at BPY for more than one child, please list additional name(s), DOB and grade(s).
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How did you hear about BPY?
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Shul Affiliation
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