New Students Hebrew School Info Form Please complete this information form. You will receive a response within 24 hours of submission Child Info: First Name Last Name Hebrew Name (if known) DOB School Grade Entering Hebrew Reading Proficiency (if any) Previous Jewish Education (if any) Is the natural mother of the child/ren Jewish? YES NO Where there any conversions or adoptions in the family? Please explain. (If yes, is the conversion recognized and approved by the Chief Rabbinate of Israel) Parent Info: Address City Zip Home Phone Father's Name Cell Phone Email Mother's Name Cell Phone Email This page uses 128 bit SSL encryption to keep your data secure.