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Jewish Experience Registration Form

Jewish Experience Registration Form

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Click here for a Jewish Experience Schedule and Lesson Outline

Please Select Your Experience

Just the Jewish Experience

4:00 - 5:15

Additional Bar/Bat Mitzvah Tutoring

5:15 - 6:00PM

Additional Hebrew Reading Tutoring

5:15 - 6:00PM

Student Information

Name:
Date of Birth: Grade Entering:
Address:
Father's Name:
Mother's Name:
Home Phone:
Cell Phone:
Father's Email:
Mother's Email:
Emergency Contact Name:
Emergency Contact Phone:

General Information

Does your child have any previous Jewish Education?
Is there any medical or other information that we should be aware of?
Comments / Questions:
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