Register Online

Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

If you would prefer to register by mail, Please click here for a registeration form.

Please use a separate registration form per child.

We look forward to a wonderful year of learning and growth.  

If you have any questions, feel free to contact Mendy Lezell, Aleph Bet Hebrew School director,  who will be happy to discuss any questions you may have.
Phone: 215-497-9925 ext.13
Email: rl@jewishcenter.info 

General Information

Child #1
First Name :     
Last Name : 

Hebrew Name: 
Date of Birth:   Grade entering in September:
Choose one Aleph Bet option:    Sunday     Wednesday

Child #2  
First Name :     
Last Name : 

Hebrew Name: 
Date of Birth:   Grade entering in September:
Choose one Aleph Bet option:    Sunday     Wednesday

Child #3   
First Name :     
Last Name :  

Hebrew Name: 
Date of Birth:   Grade entering in September:
Choose one Aleph Bet option:    Sunday     Wednesday

 

Educationial Information
Child #1  Previous Education:
 Does not read Hebrew  Can recognize Hebrew Letters  Reads Slowly


Child #2  Previous Education:

 Does not read Hebrew  Can recognize Hebrew Letters  Reads Slowly

Child #3  Previous Education:
 Does not read Hebrew  Can recognize Hebrew Letters  Reads Slowly



 

Emergency Contact Information
Name:  Relationship: Phone:

 

Family Information
Father's Name:   Hebrew Name:
Address:
City:  State:   Zip:
Home Phone:   Cell Phone:
Email:     Occupation:

Mother's Name:   Hebrew Name:
Address:
City:  State:   Zip:
Home Phone:   Cell Phone:
Email:     Occupation:

Paternal Grandparents Name:
Address:  City:  State:  Zip:

Maternal Grandparents Name:
Address:  City:  State:  Zip:
 
Were there any conversions or adoptions in you family? If yes, please explain:
Are the natural parents of the child/ren Jewish? Father  Mother  Both

 

Medical Information

Is there any special medical or other information regarding your child/ren, of which our school should be made aware?


Does your child have behavioral support in his/her regular school? 
yes  no  part time
_________________________________

 The Aleph Bet Program has my permission to arrange for any necessary first aid or care by a licensed physician for my child while he/she is attending school.

 

Payment

A $50 deposit is required to secure your child's spot at
Aleph Bet Hebrew School.

I will be paying by:  Mastercard Visa   Discover Amex

I will send in a  Check   

in the Amount of              

Card Number   

Expiration Date (mm/yy)   

 Security code (The 3 or 4 digit is located inside the signature box on the back of your card immediately after your c.c. number) 

 

 

 

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Aleph Bet Hebrew School to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Aleph Bet Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Aleph Bet Hebrew School activities and that these pictures may be used for marketing purposes.

I Accept   

Name:     Initials:

We look forward to a wonderful year of learning and growth!