Registration

Student Registration
Welcome! We are currently accepting application forms for the 2022-2023 school year. If you have any questions or concerns, you'd like to discuss with us, please contact us at 805-660-1836.

We look forward to a wonderful year of learning and growth!
Number of Children Registering
Student Profile 1
Child's Name*

First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
Grade Entering as of 09/2022*
Hebrew Reading Proficiency*

None Some Well
Student Profile 2
Child's Name

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Grade Entering as of 09/2022
Hebrew Reading Proficiency

None Some Well
Student Profile 3
Child's Name

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Grade Entering as of 09/2022
Hebrew Reading Proficiency

None Some Well
Student Profile 4
Child's Name

First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Grade Entering as of 09/2022
Hebrew Reading Proficiency

None Some Well
Family Information

Address*

Payment

Credit Card Paypal

Postal / Zip Code

Country

Yes, I'd like to make this a monthly recurring payment.
Sponsor a Child

$75 $180 $360
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%
Should be Empty:

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Updates

Educate Your Child... Educate a Generation

Student Registration