Torat HaLev Registration 2024

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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 One3rd4th5th

* 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. Contact shalom@chochmat.org if this is a barrier to your participation.

Payment Information

* Tuition Payment

Tuition PaymentTuition 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.

Sat, October 5 2024
3 Tishrei 5785

Sat, October 5 2024 3 Tishrei 5785