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Mitzvat HaLev Registration 2023

Use this form to enroll in Mitzvat Halev: Chochmat HaLev's B'Mitzva Program for 6th-8th grade families, beginning August 2023.

Student Information
What school does the student currently attend? Does the student have any experience reading or speaking Hebrew? Does the student have any prior experience with Hebrew school or private tutoring?

Parent 1 Information
This email address will receive a confirmation of this registration

Parent 2 Information

Other Information
Please include information regarding allergies, learning disabilities, any medications, or special needs. If the student does not have any, please write N/A.
Please provide the contact information [Name, Phone Number, and Email Address] of one additional adult to be contacted in the event of an emergency. 

No one is turned away for lack of funds. Contact if this is a barrier to your participation.

Payment Information

Please either pay via ShulCloud/credit card OR make a check out to Chochmat HaLev. (Checks are strongly preferred!) If paying by credit card, please include the convenience fee. If paying by check, please write "Mitzvat HaLev" in the notes section.
Mail to:
Chochmat HaLev
2215 Prince Street
Berkeley, CA 94705
Fri, July 12 2024 6 Tammuz 5784