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מועד לדוברי עברית
Register for MoEd’s Hebrew-Speakers’ program below.
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* Indicates required question
Child's Name
*
Your answer
Nickname
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade in School
*
In the 2019-2020 School Year
Choose
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Gender
Your answer
Will Attend MoEd on the Following Day(s)
*
Choose one or more. Each session is $25.
Monday
Tuesday
Wednesday
Thursday
Required
School
*
Your answer
Child's Hebrew Proficiency (Speaking)
*
If you do not know your child's Hebrew proficiency, we can conduct an evaluation in the classroom.
Beginner
Intermediate
Fluent
Unknown
Child's Hebrew Proficiency (Writing)
*
If you do not know your child's Hebrew proficiency, we can conduct an evaluation in the classroom.
Beginner
Intermediate
Fluent
Unknown
Any food restrictions or allergies?
All food served at MoEd will be kosher.
Your answer
Family Information
Street Address
*
Your answer
City, State, ZIP
*
Your answer
Parent/Guardian #1 Name
*
Your answer
Parent/Guardian #1 Email
*
Your answer
Parent/Guardian #1 Cell
*
Your answer
Parent/Guardian #1 Occupation
*
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Email
Your answer
Parent/Guardian #2 Cell
Your answer
Parent/Guardian #2 Occupation
Your answer
Anything Else?
Please let us know if there is any other information we should know about your child's registration.
Your answer
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