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Private Hebrew Tutoring

Private Hebrew Tutoring

Private Hebrew Tutoring

We are currently accepting application forms for the 2016-2017 school year.

If you have any questions or concerns you'd like to discuss with us, please contact us. We look forward to a wonderful year of learning and growth.

Student Profile
First Name
Last Name
Hebrew Name
DOB
School
Grade Entering
Hebrew Reading Proficiency
Previous Jewish Education
Where?

 
Parent Information
Father's Name
Phone
Mother's Name
Phone
Address
City
State
Zip
Email Address
 
Emergency Information
Emergency Contact 1
Phone
Emergency Contact 2
Phone
Doctor
Address
Phone
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
 
Payment Information
Private Hebrew Tutoring
$40/lesson ($1200/year= 30 lessons)
Total Amount:

Please consider an added donation to our scholarship fund
Credit Card Number
CVV
Expiration Date

 As always, no child will be turned away due to lack of funds! Scholarships available.

Authorization
Transport / Emergency Care as listed above Authorization
 
Media Authorization
 

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