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Registration

Registration

Child Information
Last Name
First Name
  Name Child is called
Gender
Date of Birth
  Age as of 8/1/2017
Address
City, State, Zip
  Home Phone
       
Sibling 1 Name
Age
Attended Gani Preschool?
  School Currently Attending
Sibling 2 Name
Age
Attended Gani Preschool?
  School Currently Attending
Sibling 3 Name
Age
Attended Gani Preschool?
  School Currently Attending
       
Parent Information
Parent 1
Name
Hebrew Name
  Occupation
Firm Name
Firm Address
  Firm Phone
Cell
Email Address
  Country of Origin
Parent 2
Name
Hebrew Name
  Occupation
Firm Name
Firm Address
  Firm Phone
Cell
Email Address
  Country of Origin
       
General Information
Languages spoken at home other than English:
Is your family affiliated with a congregation? If yes, which one?
Does the child live with both natural parents?
Is the child's natural mother Jewish?
Are there any adoptions in your family?
School Year Applying for:
       
Please select desired program   Preschool Length of Day
5 Days - Mon-Fri   2's Full Day 8:30am - 4:30pm
3 Days - Select Days with Director   2's Half Day 8:30am - 12:30pm
      3's Full Day 8:30am - 4:30pm
How did you hear about Gani Preschool?   3's Half Day 8:30am - 12:30pm
  4's Full Day 8:30am - 4:30pm
  4's Half Day 8:30am - 12:30pm

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