LEV Academy New Student Enrollment Form
Please complete the enrollment form for any child who will be starting LEV Academy for the 2020-2021 school year.  In order for your child to be assigned to his/her class, we MUST have a registration form submitted and payment received.  In order for us to properly prepare for the upcoming academic year, we must have your registration forms by no later than May 22, 2020.
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Email *
Child's Full Name *
Child's Hebrew Name *
Child's Date of Birth *
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DD
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Child's Home Address *
Public School Child Will Be Attending in 2020-2021 *
Has Your Child Had Previous Hebrew School Experience?  If So, Where? *
Does your child have any medical or learning issues we need to be aware of?  If so, please list and explain.
Preferred Contact Phone Number *
Parent/Guardian #1 Full Name *
Parent/Guardian #2 Full Name (if not applicable, please  enter N/A) *
Parent/Guardian #1 Hebrew Name *
Parent/Guardian #2 Hebrew Name (if not applicable, please enter N/A) *
Parent/Guardian #1 Maiden Name (If applicable) *
Parent/Guardian #1 Occupation *
Parent/Guardian #1 Employer *
Parent/Guardian #2 Occupation *
Parent/Guardian #2 Employer *
Is anyone in your family a Cohen or a Levi? *
Required
Are you interested in being the class parent for your child's class? *
How did you hear about LEV Academy?  What factors lead you to decide to enroll your child in LEV Academy? *
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