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Upcoming Bringing it Home

Hebrew School

Student(s) Information
Number of Children*
Full Name*

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Day Month Year
Full Name* Child 2

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Day Month Year
Full Name* child 3

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Day Month Year
Full Name* child 4

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Day Month Year
Full Name* Child 5

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Day Month Year
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Parents Name*

First Name Last Name
Parents Number*

Area Code Phone Number
Program Options
Location*
Suggested Cover Cost
Option

$70 one unit (4 lessons)$20 Individual Class$540 Sponsor a class$1800 Sponsor a unit
Total

$0.00

Payment

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