Hebrew School Registration
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Email *
Parent info
FIRST NAME  *
LAST NAME 
*
EMAIL *
STREET ADDRESS 
*
CITY *
POSTAL CODE
*
STATE/PROVINCE
*
MOBILE NUMBER *
IS JEWISH *
DID ANY OF THE PARENTS OR GRANDPARENTS CONVERT?
*
Parent 2
FIRST NAME 
*
LAST NAME 
*
MOBILE PHONE NUMBER
*
IS JEWISH
*
DID ANY OF THE PARENTS OR GRANDPARENTS CONVERT?
*
Parent #2 Address (if different than parent 1)
CHILD 1
FIRST NAME

LAST NAME
GENDER
NAME OF SCHOOL
HEBREW NAME
Signing  Up For *
Required
CHILD 2
FIRST NAME

LAST NAME
GENDER
Birthdate
MM
/
DD
/
YYYY
NAME OF SCHOOL
Birth Date *
MM
/
DD
/
YYYY
HEBREW NAME
Signing  Up For
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*
A copy of your responses will be emailed to the address you provided.
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