TUESDAY Hebrew School Registration 2025-26

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If you are new to Hebrew School and would like to meet with us please email info@tribecasynagogue.org and in the subject please write HEBREW SCHOOL TOUR

FAMILY INFORMATION

* How many Adults are in your Household?

PRIMARY MEMBER INFORMATION

* First Name

* Last Name

* Email

* Cell Phone

Work Phone

* Relationship to Student(s)

SECONDARY MEMBER INFORMATION

* First Name

* Last Name

* Email

* Cell Phone

Work Phone

* Relationship to Student(s)

* Is there an additional Parent not living in the home?

ADDITIONAL PARENT INFORMATION

* First Name

* Last Name

* Email

* Cell Phone

Work Phone

* Relationship to the Student(s)

ADDRESS INFORMATION

* Home Address for Student(s)

Unit/Apt/Floor

* City

* State

* Zip

* Home Phone

STUDENT INFORMATION

* Are you a Member of Tribeca Synagogue?

* How many Students are you enrolling?

STUDENT 1 INFORMATION

* First Name

* Last Name

Hebrew Name

* Date of Birth

Child's Doctor

Doctor's Phone

* May we take & use your child's photo?

Does this child requires assistance in the bathroom?

Please List ALL Allergies (and if they have an Epi Pen) or any other medical conditions

Anything we need to know about your child's learning needs?

* What Grade are you enrolling this Child?

STUDENT 2 INFORMATION

* First Name

* Last Name

Student #2 Hebrew Name

* Date of Birth

Child's Doctor

Doctor's Phone

* May we take & use your child's photo?

Does this child requires assistance in the bathroom?

Please List ALL Allergies (and if they have an Epi Pen) or any other medical conditions

Anything we need to know about your child's learning needs?

* What Grade are you enrolling this Child?

TOTAL DUE

MEMBERS - If you require financial assistance to cover tuition costs above please check this box.

NON MEMBERS - If you require financial assistance to cover tuition costs above please check this box.

Fri, June 6 2025 10 Sivan 5785

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