Hebrew School Registration 2023-2024
Track Options
- Please Select -
Sunday In-Person - Sunday morning 10am - 12 pm
Tuesday In-Person - Tuesday afternoon 4:30 pm - 6:30 pm Includes dinner
Virtual Track - Sunday morning 10 am - 11 am, Includes a weekly delivery of supplies & a weekly fifteen minute private lesson
Student Information
Full Name
Hebrew Name
Birth Date
Time Born
Before Sunset
After Sunset
School Attending
Grade Entering
- Please Select -
Pre-K
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Hebrew Reading Proficiency
- Please Select -
None
Somewhat
Strong
Previous Jewish Education
- Please Select -
Yes
No
Is the natural mother of the child Jewish?
Yes
No
Other:
Allergies & food intolerances:
Contact Information - Guardian 1 is the primary contact
Title
- Select title -
Mr.
Mrs.
Ms.
Dr.
Mr. & Mrs.
Dr. & Mrs.
Rabbi
Rabbi & Mrs.
Guardian 1
Home Address
City
State & Zip Code
Guardian 1 Phone
Guardian 1 Email
Guardian 2
Guardian 2 Email
Guardian 2 Phone Number
Emergency Contact Information
Contact 1 Name
Contact 1 Phone
Contact 2 Name
Contact 2 Phone
Payment Method
Credit Card Information
Type
Visa
MC
Amex
Discover
Number
Expiration
Code
Use contact info above
Name
Address
Zip
Acknowledgement*
By registering, I acknowledge that there may be photographs taken of my child throughout the semester, and I consent to the use of these photographs in future Westmount Hebrew communications.
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