REGISTER YOUR CHILD

Our course is an 8 month program that commences in October and concludes in May.

Registration is now live for October 2018. Please fill out the form below to enroll your child. You will receive a yearly calendar of all classes, trips and events, fee schedule and payment options.

Classes take place monthly on Sunday mornings from 9:45am-11:15am at Village Synagogue.

Name *
Name
Hebrew Name
Hebrew Name
Date of Birth *
Date of Birth
What time was your child born
What time was your child born
Please Note -
Please Note -
Past Jewish studies lesson
Is the natural mother of the child Jewish
If there any conversion or adoption in your family? If yes, please describe:
Parents with more than one child at Village Hebrew; complete this section on one Admission Form only.
Home Telephone:
Home Telephone:
Cell phone:
Cell phone:
Home Telephone:
Home Telephone:
Cell Phone:
Cell Phone:
Main Expectation:
Main email correspondence:
Primary mail correspondence:
Is your child taking permanent medication? If yes, please spesify
Any known allergies(incl. reaction to medication)and any present medical conditions? Specify
Home Telephone:
Home Telephone:
Cell phone:
Cell phone:
Doctor's Telephone:
Doctor's Telephone:
Cell phone:
Cell phone: