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The Jewish Congregation of New Paltz

HEBREW SCHOOL REGISTRATION FORM  2008-2009

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Student’s Name (1): ________________________________________________ DOB: _______________

                                                     First                         Middle                                         Last

 

Secular School: __________________________________ Secular Grade as of Sept. 2008 __________

 

Please register my child for the following Hebrew School Class/Grade _________________________

 

Is there anything about your child that you would like us to know in order for him/her to have a more

 

positive Hebrew School experience?_______________________________________________________

 

                                                                                                                                                                                                                                                               

 

___________________________________________________________________________________________________________________

 

Student’s Name (2): ________________________________________________ DOB: _______________

                                                     First                         Middle                                         Last

 

Secular School: __________________________________ Secular Grade as of Sept. 2008 __________

 

Please register my child for the following Hebrew School Class/Grade _________________________

 

Is there anything about your child that you would like us to know in order for him/her to have a more

 

positive Hebrew School experience?_______________________________________________________

 

                                                                                                                                                                                                                                                               

 

___________________________________________________________________________________________________________________

 

 

Parent/Guardian (1) _______________________________ Daytime Phone: _______________________

 

Address:  _________________________________________ Home Phone:________________________

          Street                                                         City                                Zip

Email: ____________________________________________ Mobile Phone:_______________________

 

Occupation: _________________________________ Employer: ________________________________

 

     * May we email you as a method of contact for class announcements, information, etc?                       Yes          No 

 

Parent/Guardian (2) _______________________________ Daytime Phone: _______________________

 

Address:  _________________________________________ Home Phone:________________________

          Street                                                         City                                Zip

 

Email: ____________________________________________ Mobile Phone:_______________________

 

Occupation: _________________________________ Employer: ________________________________

 

     * May we email you as a method of contact for class announcements, information, etc?                       Yes           No  

 

 

May we include the above information in our published class lists?                            Yes           No 

May we contact you to help out with Junior Congregation or Holiday Parties?    Yes           No