HS Registration Form 2024-2025

How many children are you registering?
I would like to sign up for: c1

I would like to sign up for: c1 Sunday's 9:45am (Nursery - Year7) Tuesday's 4:15pm (Nursery - Year7) Bar & Bat Mitzvah Program GCSE Jewish Syllabus (Yrs 9 & 10)
Child 1 First Last
1 Hebrew name (if known)
1 Date of birth / MM / DD YYYY
1 School and year attending
I would like to sign up for: c2

I would like to sign up for: c2 Sunday's 9:45am (Nursery - Year7) Tuesday's 4:15pm (Nursery - Year7) Bar & Bat Mitzvah Program GCSE Jewish Syllabus (Yrs 9 & 10)
Child 2 First Last
2 Hebrew name (if known)
2 Date of birth / MM / DD YYYY
2 School and year attending
I would like to sign up for: c3

I would like to sign up for: c3 Sunday's 9:45am (Nursery - Year7) Tuesday's 4:15pm (Nursery - Year7) Bar & Bat Mitzvah Program GCSE Jewish Syllabus (Yrs 9 & 10)
Child 3 First Last
3 Hebrew name (if known)
3 Date of birth / MM / DD YYYY
3 School and year attending
Your name First Last
Other parent's name First Last
Parent's Hebrew Names (if known)
Home Adress
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Your email
Other parent's email
Your mobile
Other parent's mobile
Home number
Synagogue members

Synagogue members St. John's Wood / Saatchi Lauderdale Road None Other, name Other, name
Parents are
Does your child/ren take medication/ have allergies/ special needs? Any condition that we should be aware of?

Does your child/ren take medication/ have allergies/ special needs? Any condition that we should be aware of? Yes No
If yes, please specify
Has your child/ren attended Jewish school or other Cheder classes? please specify
How did you hear about us?
I understand that photos are taken and might be used for the newsletters
Yes I do not want photos shared
Are there any conversions to Judaism in the family? *
Draw your signature into the box below. *

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