Child's Last Name
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Is your child adopted?
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Yes
No
Did your child convert to Judaism?
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Yes
No
If your child has been adopted or converted, please list the date, city, and presiding Rabbi for this event.
*
Please describe any medical, developmental, or behavioral support your child receives. (If none type N/A)
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Mothers Name
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First Name
Last Name
Mother's Phone
*
(###)
###
####
Mother's Email
*
Please indicate the mother's religious status
*
Born to a Jewish Mother
Jewish by Conversion
Non-Jewish
If the mother has converted, please list the date, city, and presiding Rabbi.
*
Is the mother currently employed? If yes, where?
Father's Name
*
First Name
Last Name
Father's Phone
*
(###)
###
####
Father's Email Address
*
Please indicate the father's religious status
*
Born to a Jewish Mother
Jewish by Conversion
Non-Jewish
If the father has converted, please list the date, city, and presiding Rabbi.
*
Which synagogue are you affiliated, and who is your Rabbi?
*
Is the father employed? If yes, where?
Home Address
How did you hear about our school?
Do you have a referral or a current family reference at our school? If yes, please provide their name(s).
When would you like your child to start attending our school?
Will your family be paying full tuition, or would you like to apply for a scholarship?
Why have you chosen our school for your child(ren)?