Torat Yisrael's Jewish Learning GPS: Torat Tots, Yeladon and
The Frederic G. and Lawrence G. Cohen Religious School
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Registration Form
Registration Form: Yeladon and Cohen Religious School
We are looking forward to welcoming you and your entire family to the 2012-2013 / 5773 school year at Yeladon and the Cohen Religious School. Please fill out the registration form below so that we can ensure an appropriate place for every child in our school.
Please note that your child's/children's place/s in school are only secured when the Torat Yisrael office is in receipt of a $100 deposit per student. (Temple Torat Yisrael, 1251 Middle Rd., East Greenwich, RI 02818, att'n: Sheryl Ponder).
Student #1 Information
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First
Last
Hebrew Name (English Letters)
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Date of Birth
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Grade in School
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Name of School
*
School Address
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Please share with us information about special accomodations and/or special needs and/or allergies relevant to your child.
*
Student #2 Information
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First
Last
Hebrew Name (English Letters)
*
Date of Birth
*
Grade in School
*
Name of School
*
School Address
*
Please share with us information about special accomodations and/or special needs and/or allergies relevant to your child.
*
Student #3 Information
*
First
Last
Hebrew Name (English Letters)
*
Date of Birth
*
Grade in School
*
Name of School
*
School Address
*
Please share with us information about special accomodations and/or special needs and/or allergies relevant to your child.
*
Student #4 Information
*
First
Last
Hebrew Name (English Letters)
*
Date of Birth
*
Grade in School
*
Name of School
*
School Address
*
Please share with us informationa bout special accomodations and/or special needs and/or allergies relevant to your child.
*
Parent #1
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First
Last
Hebrew Name (Engllish Letters)
*
Email
*
Home Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
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Cell Phone Number
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Place of work (if relevant)
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Work Phone Number
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Parent #2
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First
Last
Hebrew Name if relevant (English Letters)
*
Email
*
Home Address (omit if same as parent #1)
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number (omit if same as parent #1)
*
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Cell Phone Number
*
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Place of work (if relevant)
*
Work Phone Number
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In Case of Emergency:
Name and relationship
*
Name and relationship
*
Phone Number
*
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Phone Number
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Submit
