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High School 2023-24
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High School Program
Grades 8-12
Sundays 12:15-1:15
Yearly Tuition $240
Last Name Parent/Guardian 1
First Name Parent/Guardian 1
Email
Cell Phone
May we send you a text message?
Yes
No
Home Phone
Last Name Parent/Guardian 2
First Name Parent/Guardian 2
Email
Cell Phone
May we send you a text message?
Yes
No
Home Phone
With whom does the child reside?
Both Parents/Guardians
Parent/Guardian 1
Parent/Guardian 2
Emergency Contact Name
Emergency Contact Cell Phone
Emergency Contact Home Phone
Click on
+
for each child you would like to enroll.
Student Information
Student's Name
Student's Hebrew Name
Birthdate
Child's Preferred Gender Pronouns
she/her/hers
he/him/his
they/them/theirs
My child attends (school name and district).
Grade
8th
9th
10th
11th
12th
6th
Fri, March 29 2024
19 Adar II 5784
Fri, March 29 2024 19 Adar II 5784