Hebrew School Registration 2023-2024

Hebrew School Registration

Last Name of Student *

First Name of Student *

Hebrew Name of Student

(If Applicable) Example: David or דוד

Hebrew Name of Father

(If Applicable)

Hebrew Name of Mother

(If Applicable)

Address *

City *

Postal Code *

Phone *

Birth Date of Student *

Tribe *

Email *

Event Fee(s)

Please Contact Us For Alternate Payment Options. *

Registration Fee: - $ 100.00

Registration + Half Year Tuition: - $ 500.00

Registration + Full Year Tuition: - $ 900.00

Total

Authorize.net (Credit Card)

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *