Hebrew Enrichment

Annual Tuition $770/child.

Discount for sibling ($770 for 1st child, $725 for additional siblings)

NO REGISTRATION FEES. NO TEMPLE MEMBERSHIP FEES.
How many children are you registering?*
Child's Name*
First Name Last Name
Birthdate*

Month Day Year
Living With:*
Is the child adopted?*
Child #2*
First Name Last Name
Birthdate #2*

Month Day Year
Living With:*
Is the child adopted?*
Child #3*
First Name Last Name
Birthdate #3*

Month Day Year
Living With:*
Is the child adopted?*
Parents' Information
Father's Name*
First Name Last Name
Father Cell*

Area Code Phone Number
Jewish*
Mother's Name*
First Name Last Name
Mother Cell*

Area Code Phone Number
Jewish*
Attach Conversion Certificate*
E-mail*

Address*

Payment

Credit Card Check

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Parents' Information