Parent or Legal Guardian
History
Please check all that apply
Please add any relevant information regarding adoptions and conversions.
Parent/Guardian 2
History
Please check all that apply
Please add any relevant information regarding adoptions and conversions.
Child 1
Example: David or דוד
Address
School
Please list schools child attended in the past
Please write name of school child is/will be attending while they will be attending Hebrew School.
Please describe your child's relationship with school, teachers and learning. Hebrew School is a fun, unique atmosphere and we aim to customize the experience for each child. By describing your child's behaviors, concerns and needs we can better accommodate him/her. Please include whether you have any tips and tricks that work best for your child.
Please share with us if your child has any special talent or interests! We would love to highlight their strengths!
Medical Info
Please write name as printed on Medicare Card
Please check all allergies that apply.
Please list any allergy which is not in the above list.
History
Please check all that apply
Please add any relevant information regarding adoptions and conversions.
Hebrew School Arrival Options
If you choose for us to pick up, please check at which entrance we will be meeting your child. Generally it will be the SAME ENTRANCE/EXIT as they usually use.
$
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.
Child 2
Example: David or דוד
Address
School
Please list schools child attended in the past
Please write name of school child is/will be attending while they will be attending Hebrew School.
Please describe your child's relationship with school, teachers and learning. Hebrew School is a fun, unique atmosphere and we aim to customize the experience for each child. By describing your child's behaviors, concerns and needs we can better accommodate him/her. Please include whether you have any tips and tricks that work best for your child.
Please share with us if your child has any special talent or interests! We would love to highlight their strengths!
Medical Info
Please write name as printed on Medicare Card
Please check all allergies that apply.
Please list any allergy which is not in the above list.
History
Please check all that apply
Please add any relevant information regarding adoptions and conversions.
Hebrew School Arrival Options
If you choose for us to pick up, please check at which entrance we will be meeting your child. Generally it will be the SAME ENTRANCE/EXIT as they usually use.
$
Files must be less than 2 MB.
Allowed file types: gif jpg png.
Child 3
Example: David or דוד
Address
School
Please list schools child attended in the past
Please write name of school child is/will be attending while they will be attending Hebrew School.
Please describe your child's relationship with school, teachers and learning. Hebrew School is a fun, unique atmosphere and we aim to customize the experience for each child. By describing your child's behaviors, concerns and needs we can better accommodate him/her. Please include whether you have any tips and tricks that work best for your child.
Please share with us if your child has any special talent or interests! We would love to highlight their strengths!
Medical Info
Please write name as printed on Medicare Card
Please check all allergies that apply.
Please list any allergy which is not in the above list.
History
Please check all that apply
Please add any relevant information regarding adoptions and conversions.
Hebrew School Arrival Options
If you choose for us to pick up, please check at which entrance we will be meeting your child. Generally it will be the SAME ENTRANCE/EXIT as they usually use.
$
Files must be less than 2 MB.
Allowed file types: gif jpg png.
Please select below if you would like installment payments. Your total amount will be divided by the installment schedule you chose and that amount will be charged monthly to your credit card.