REGISTER YOUR CHILD

Our course is a 10 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 evenings from 6pm-7:30pm 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
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: