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Bonim B'Yachad - Online Learning
Please complete this form for each child.
Once your information is reviewed, you will receive an invoice with payment details.
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Student's name:
*
Your answer
Student's Grade:
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3
4
5
6
7
8
9
10
11
12
Parent's name:
*
Your answer
Parent's email:
*
Your answer
Parent's phone:
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Your answer
Student's email (if available)
Your answer
I would like to register my child for the following courses:
*
Virtual Bet Midrash - Boys
Virtual Bet Midrash - Girls
Dovrei Anglit Bagrut English
Pesach: The Inside Story
English Enrichment
Required
I want to register for
*
Week 1 (March 17)
Week 2 (March 22)
Week 3 (March 29)
All 3 weeks
Required
My child's spoken English level is...
*
Native level
Advanced
Basic
Beginner
Other:
I prefer to pay via...
Bank transfer
PayPal
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I understand that by completing this form, I am reserving a space in the selected session(s). I will do everything possible to ensure that my child is able to participate successfully.
I agree
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