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Torat HaLev Registration 2024
Please verify reCaptcha before submitting the form.
Use this form to enroll in
Torat HaLev
:
Chochmat HaLev's Hebrew School Program for 3rd-5th grade families, for the 2024 - 2025 year.
Student Information
*
Student's First and Last Name
*
Student's Birthdate
*
Student's Grade in Fall 2024
Please Select One
3rd
4th
5th
*
Student's Educational Background
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
*
Name of Parent/Guardian 1
*
Parent/Guardian 1 Email Address
This email address will receive a confirmation of this registration
*
Parent/Guardian 1 Phone Number
Parent/Guardian 1 Physical Address
Parent 2 Information
Name of Parent/Guardian 2
Parent/Guardian 2 Email Address
Parent/Guardian 2 Phone Number
Parent/Guardian 2 Physical Address
Other Information
*
Important Medical Info
Please include information regarding allergies, learning disabilities, any medications, or special needs. If the student does not have any, please write N/A.
*
Emergency Contact
Please provide the contact information [Name, Phone Number, and Email Address] of one additional adult to be contacted in the event of an emergency.
Membership Information
*
I understand that by enrolling in Torat HaLev, I am committing to Chochmat HaLev Membership for the duration of the program at the Supporter level or above.
I understand that by enrolling in Torat HaLev, I am committing to Chochmat HaLev Membership for the duration of the program at the Supporter level or above.
Click here
for more info about membership. Membership can be paid annually or monthly. Contact shalom@chochmat.org if this is a barrier to your participation.
Payment Information
*
Tuition Payment
Tuition Payment
Tuition is $1400 for the year, plus a $100 materials feel. We want you to be here; please contact shalom@chochmat.org if cost is a barrier to participation.
Mon, December 30 2024
29 Kislev 5785
Mon, December 30 2024 29 Kislev 5785
