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2017-2018
 

Please fill out a separate form for each child.

Child's Information
Child's Name

First Last                                          Last Name
Hebrew Name

Age

Date of Birth

Grade Entering

Does your child have any special learning or behavioral needs?

Mother's Information
Mother's Name

Mother's Hebrew Name

Address

Phone

E-mail

Please send all Grow Correspondence

Father's Information
Father's Name

Father's Hebrew Name

Address

Phone

E-mail

Please send all Grow Correspondence

If a parent and/or child is a convert, please submit conversion forms.

Emergency

In the rare case that there is an emergency and we cannot reach either parents please let us know who we can call.
Name

Phone

I authorize all medical transportation, medical and surgical treatment, X-ray, laboratory, anesthesia, and other medical and/or hospital procedures which may be performed or prescribed by the attending physician and/or paramedics for my child and waive my right to informed consent of treatment. This waiver applies only in the event that neither parent/guardian can be reached in the case of an emergency.

I allow my child to be photographed and for the photos to be used in print, video and digital media.

 

Payment

$900 Annual Tuition

Payment in full. (Upon registration.) 

Three Installments.  (Upon registration, on November 1,  and on February 1.)

 

Credit Card Number

Expire

CVV

For scholarships or financial assistance , please call the office.