Welcome to our online registration form.
Registration for 2017-18 school year NOW OPEN!
Current students register for next year here
Last Name Child's First Name
Gender Male Female
Date of Birth Date of Birth (Hebrew)
Residence Street Address
City State Zip
Mother's Name Hebrew Name
Work Phone Employer
Father's Name Hebrew Name
Are there any conversions in the family? Yes No
If yes please explain:
Register for School Year 2017-18
Gan 2 (Must be 2) 2 Days 3 Days 5 Days
Gan 3 2 Days 3 Days 5 Days
Pre-Kindergarten 5 Days
Hours: Core Program (8:30-12:30)
Full Day (8:30-2:30)
Full Day with Aftercare (8:30-4 PM)
I will also be filling out a scholarship form
Please check here if there is ANY ALLERGY or medical condition that will need to be accommodated at school. (This will be followed up a meeting on our health and safety protocol)
Registration fee of $100 must be paid at time of registration for your child to be enrolled.
Please Choose One
Cash or Check
Name on Card: Card No:
CVV: Expiration Date:
Tuition is to be paid through FACTS Tuition Payment Plan. New parents sign up online here. For parents who are re-registering and already are on FACTS, your information will be used again automatically. Be sure to contact the office with any bank account or date changes to avoid any bounced check fees.
Parent Signature Date
Email Address (For confirmation)
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