Hebrew School Registration

Address*

Additional notable InformationPlease let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father's Name*
First NameLast Name
Father's Cell*
Area CodePhone Number
Mother's Name*
First NameLast Name
Mother Jewish by:*We can only perform Bar/Bat Mitzva if the natural parents and grandparents are Jewish by birth or went through an Orthodox conversion. Please contact Perel if you have any questions.
BirthConversionNo
Mother's Cell*
Area CodePhone Number
Best way to send Hebrew School updates:*
Cell PhoneEmailHandout
I am willing to assist in school activities, please contact me
Payment ( *No child will be turned away due to lack of funds)
Payment Plan:Includes registration, workshops & supplies
Pay in Full - $800Pay in 4 Installments (Contact for details)Alternative Payment Plan has been discussed
Total
$0.00

Payment

Credit Card Other

Postal / Zip Code

Country

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