Tribeca Hebrew School
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Student Information
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Student 1
Hebrew Reading Proficiency
 
Previous Jewish Education
 
Medical Information
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?
 
Program
Program Choice
 
Student 2
Hebrew Reading Proficiency
 
Previous Jewish Education
 
Medical Information
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?
 
Program
Program Choice
 
Student 3
Hebrew Reading Proficiency
 
Previous Jewish Education
 
Medical Information
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?
 
Program
Program Choice
 
Student 4
Hebrew Reading Proficiency
 
Previous Jewish Education
 
Medical Information
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?
 
Program
Program Choice
 
Student 5
Hebrew Reading Proficiency
 
Previous Jewish Education
 
Medical Information
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of?
 
Program
Program Choice
 
 
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Parents Info
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Parent 1
Parent 2
Home Information
Address
I authorize my home telephone number and email address to be published in a class list
 
Is the natural mother of the child Jewish?
 
Have there been any conversions or adoptions in the family?
 
Parents are now
 
Primary Contact
 
Volunteer
Other
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Emergency Contacts
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Contact 1
Contact 2
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Terms of Agreement
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Comments
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Payment Information
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Payment
Credit Card
Expiry Date
 
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