Register

We are currently accepting applications for the 2023-2024 school year.

Please fill out ALL fields of this form. If you have any questions, concerns or if you'd like to discuss our program over the phone/in person before filling out this form please contact us.

Synagogue membership is NOT required.

To try out our program for a few weeks no strings attached please contact us.

Child's Name*

First Name Last Name

Hebrew Name*

Birth Date*

Month Day Year

Gender

MaleFemale

What school does your child attend?*

Grade entering*

Does your child have a previous Jewish education?

YesNoSomewhat

Does your child speak/understand/read Hebrew?

NoneSomewhatWell

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Additional notable Information

Parent 1 info*

First Name Last Name

Phone Number*

Area Code Phone Number

E-mail*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent 2 info*

First Name Last Name

Phone Number*

Area Code Phone Number

E-mail*

Address (if different)

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status *

MarriedSeparatedDivorced

Mother Born Jewish*

YesConvertedNot Jewish

Converted By Whom?

Emergency Contact*

First Name Last Name

Phone Number*

Area Code Phone Number

Relationship*

Pediatrician*

First Name Last Name

Phone Number*

Area Code Phone Number

Which day works best for your family?*

Sunday morningWednesday afternoon

Tuition: $1099 (simple flat pricing no registration fees). Joining midway through the year? Price will be prorated.

Referrals: Save $200 for each family that signs up.

* Synagogue membership is NOT required. Please note, that no child will be turned away due to lack of funds. Please contact us to discuss any financial considerations.

After you have successfully submitted your application it will be subject to review. A team member will reach out to schedule a follow up call to discuss your application and confirm it's approval. Once approved an invoice will be sent to complete your child's enrollment.

I would like to receive news and updates by email

Enrollment for the 2022-2023 school year is open!

1. STUDENT INFORMATION

2. PARENT INFORMATION

3. EMERGENCY INFORMATION

4. PARENT FEEDBACK REQUEST

5. TUITION AND FEES AND HOW TO SAVE

6. ENROLLMENT