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Registration  
Home Registration
Cheder
All registrations submitted from August 20 will not be processed until after September 10.
We will then process the registrations in the order they were submitted.
 
REGISTRATION FORM
General Information
Where did you hear about us
Student's Information
Child's First Name *
Hebrew First Name
Last Name *  
Gender * Male Female
Birth Date (MM/DD/YYYY) *  
Approximate time of day when born and location of birth
Child's Current Grade  *  
Is your child .... *  existing student new student
Parents Information
Father's First Name *
Mother's First Name *
Address *
City *
State *
ZIP *
Country *
Home Phone *
Father Cell *
Mother Cell *
Father's Email  *
Mother's Email  *
Additional Information
Which of our Cheder classes would you be iterested in? * Weekly class
Daily class
Which school is your child currently attending? *
Phone number for your child's current school? *
What are you hoping your child will gain in this class? * 
Which days of the week would work best for your child?
Please include all possible days * 
Which times would work best?
Please include all possible hours. * 
Is there anything you would like us to know about your child? * 
* = Required Fields
     
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