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Sholom Learning Registrations

Program Registration

Please fill out the form below to register for

our upcoming 2020-2021 school year!

Contact Fargana with any questions at 647.873.1235 or fargana@

SholomLearning
Registration 2020-2021

* Parent 1 Name

* Parent 1 Email

* Parent 1 Phone Number

Parent 2 Name

Parent 2 Email

Parent 2 Phone Number

* Street Address

* City

* Home Phone Number

* Are you a member?

YesNo

Please verify and complete the enrollment information for each child below.

Child Information

* Child First Name

* Child Last Name

Hebrew Name

* Grade as of September 2020

* School

Date of Birth

Allergies

Does your child have a special need or learning challenge that we should know about?

* Child First Name

* Child Last Name

Hebrew Name

* Grade as of September 2020

* School

Date of Birth

Allergies

Does your child have a special need or learning challenge that we should know about?

* Child First Name

* Child Last Name

Hebrew Name

* Grade as of September 2020

* School

Date of Birth

Allergies

Does your child have a special need or learning challenge that we should know about?

I accept a registration fee of $75.00

* Program

Beth Sholom Member Family- Early Bird PricingBeth Sholom Non-Member Family - Early Bird PricingShabbat Do 'N Learn (per year)Shabbat Do 'N Learn (per session)Weekly Pizza DinnerChild Care (Monday & Tuesday)Child Care (Wednesday)Synagogue Membership (Includes High Holy Day tickets for our Family Service)

Wed, 1 April 2020 7 Nisan 5780

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Sholom Learning Registrations

Program Registration

SholomLearning Registration 2020-2021

SholomLearning
Registration 2020-2021