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Registration

Registration
To register a child, please fill out this form. We will contact you once form is submitted.
Child's Full Name*

First Name Last Name
Gender*
Child's Birth Date*

Month Day Year

Home Address*

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

Home Phone Number

Area Code Phone Number
Father's info
Name*

First Name Last Name
Cell Phone Number*

Area Code Phone Number
E-mail*
Father is:*
Father is:*
Mother's info
Name*

First Name Last Name
Cell Phone Number*

Area Code Phone Number
E-mail*
Mother is:*
Mother is:*
Should be Empty:

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Updates

Hebrew School begins September 8. Register your child today!

Upcoming events

Jan. 13, 2025

Morning Learning

Class on the daily Chumash & Tanya

Jan. 13, 2025

Morning Service

Jan. 14, 2025

Parsha & Kaballah

Jan. 16, 2025

Morning Learning

Class on the daily Chumash & Tanya