Enrollment for New Families

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Parent/Guardian Information

Address

Home Address *
Home Address
City
State/Province
Zip/Postal
Should mail also be sent to another address (e.g., a second parent)? If so, please note the address below.
Should mail also be sent to another address (e.g., a second parent)? If so, please note the address below.
City
State/Province
Zip/Postal
Country

Emergency Information

Some of our families have babysitters, older siblings, or friends who might pick up their child. Please list at least two authorized adults to pick up your child, whether it be routine or in case of an emergency.

Health Information

Jewish Community

Registration Information

N3 - Kindergarten children may enroll in the Family Program or Classic Enrichment Center Program. Which do you want to enroll in?
First grade children may enroll in the Shteelim ("Saplings") kindergarten program or the Nitzanim ("Buds") first and second grade program. Into which group would you like to enroll your child?
Our Family Program for 0 - 4 year old children meets every Sunday morning. Families will receive play materials in the mail. *
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