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Kehillah North London Cheder Registration
Please give the parent/carer's email address.
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Email
*
Your email
Additional Contact Email
Your answer
Child/Children's Names (First, Last)
*
Your answer
Child/Children's email addresses
Your answer
Is/Are your child/children known by another name/nickname?
Your answer
Child/Children Date of Birth (Day/Month/Year)
*
Your answer
What is your child/children's level of Hebrew?
*
Your answer
Does your child/children have any special educational needs?
Your answer
Does your child/children have any allergies or medical conditions we should know about?
Your answer
Name of Parent/Carer (1)
*
Your answer
Parent/Carer (1) phone number
*
Your answer
Name of Parent/carer (2)
*
Your answer
Parent/carer (2) phone number
*
Your answer
By ticking ‘yes’, I understand that this data will be kept securely by Kehillah and will be used to ensure the safety of my child/children whilst at Cheder.
*
Yes
A copy of your responses will be emailed to the address you provided.
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