Zehud Jewish Online School: Registration form
Please complete this form and submit the  65 € registration fee per child.
It will be deducted from your first payment for the school year.      
http://paypal.me/italiaebraica

Thank you!
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电子邮件地址 *
Child's First and Last name in ENGLISH *
Child's First Name in HEBREW
Child's Date of Birth *
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Child's date of birth on the  Jewish calendar *
Mother's First Name and Last Name *
Mother's cell phone number (please include country code) *
Mother's email address *
Father's First Name and Last Name *
Father's cell phone number (please include country code) *
Father's email address *
Home mailing address including country *
Please indicate which days work best for your child's schedule. We will try our best to accommodate you. *
必填
Please indicate  all the time slots when your child is available to participate in classes. *
4-5pm
5-6pm
6-7pm
7-8pm
📍(Sun only) 9-11am
Not available at all
Sunday
Monday
Tuesday
Wednesday
Thursday
Anything else you would like to share with us? *
您回复的副本将通过电子邮件发送到您提供的地址。
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切勿通过 Google 表单提交密码。
此表单是在 Zehud 内部创建的。 举报滥用行为