CBINT School of Jewish Studies                2021-2022/5781-5782 Registration
Bruchim Ha'Baim!  Welcome to the CBINT School of Jewish Studies.  Please complete the following registration form.  If you have any questions, please contact the school office at (414)716-1600 or school@cbintmilwaukee.org.

Please note that this form needs to be filled out in one sitting and will ask for your insurance information. So, please make sure you have adequate time to complete the form and all information required before getting started.

We are allowing families to fill out one form for multiple children. Certain questions will refer to child #1, child #2, or child #3. For ease of processing, please complete each form with children from oldest to youngest. If you are only filling the form out for one or two children, please just skip sections offered for additional children.
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Registration Form 2021-2022/5781-5782
Section #1: Student Information
Student Name (Child #1) *
Child #1 Hebrew Name *
Child #1 Grade in Fall 2021 *
Child #1 Birthday (mm/dd/year) *
Child #1 School Attending *
Child #1's email or cell phone
Child #1 lives with *
If you would like to register another child, please fill in additional information below. Otherwise, please proceed to Section #2.
Student Name (Child #2)
Child #2 Hebrew Name
Child #2 Grade in Fall 2021
Child #2 Birthday (mm/dd/year)
Child #2 School Attending
Child #2's email or cell phone
Child #2 lives with
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Student Name (Child #3)
Child #3 Hebrew Name
Child #3 Grade in Fall 2021
Child #3 Birthday (mm/dd/year)
Child #3 School Attending
Child #3's email or cell phone
Child #3 lives with
Clear selection
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