Hebrew School Re-Enrollment Form

Re-enrollment From
Please note. This form is the Re-enrollment form. For initial enrollment, Click Here

We look forward to a wonderful year of learning and growth.

Application form.

Please note - This is an application form only.
Student Information
Child 1:
Full Name*
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date*

Month Day Year
School*
Grade entering*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Allergies:
Other children:
2nd child:

I would like to register a 2nd child
Full Name
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date

Month Day Year
School*
Grade entering*
Allergies:
Additional child:

I would like to register a 3rd child
Full Name (3rd child)
First Name Last Name
Hebrew Name (3rd child)
First Name Last Name
Birth Date (3rd child)

Month Day Year
School (3rd child)*
Grade entering (3rd child)*
Allergies: (3rd child)
Notable information:
Additional notable Information Please let us know if there is other important information we need to be aware of.
Parents Information
Father's Name
First Name Last Name
Father's Cell

Area Code Phone Number
Father's E-mail
Mother's Name
First Name Last Name
Mother's Cell

Area Code Phone Number
Mother's E-mail
Payment
The following reflects full tuition. Scholarships are available by request
Amount Annual Tuition is due by the first day of school, unless an individualized payment arrangement has been made

Registration fee only (will be applied to annual tuition)- $650Annual Tuition - $1300
Amount - 2 Children Annual Tuition is due by the first day of school, unless an individualized payment arrangement has been made

Registration fee only(will be applied to annual tuition)- $650 per childAnnual Tuition (2 children)- $1300 per child
Amount - 3 children Annual Tuition is due by the first day of school, unless an individualized payment arrangement has been made

Registration fee only (will be applied to annual tuition) - $650 per childAnnual Tuition - $1,300 per child
Total

$0.00

Payment*

Credit Card Paypal Other - I would like to make a payment arrangement

Postal / Zip Code

Country

I would like to receive news and updates by email
Should be Empty:

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New!

Kindergarten and Pre-School class opening in January 2020.
Click here to register.

Updates

Registration is open for the 2020/21 school year!

Click here to register.

For more information about this exciting new program, call us today at (203) 972 7708, or email [email protected]

Re-enrollment From

Student Information

Child 1:

Other children:

Notable information:

Parents Information

Payment