Hebrew School Registration

Address*

Additional Children Please fill in full names, DOB, and grade entering of additional children you wish to register.
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Parent 1 Name:*
First Name Last Name
Parent 1 Hebrew Name
Parent 1 E-mail*
Parent 1 Cell*

Area Code Phone Number
Parent 2 Name
First Name Last Name
Parent 2 Hebrew Name
Parent 2 Email
Parent 2 Cell

Area Code Phone Number
Mother Jewish by:*

BirthChoice
If there are any conversions or adoptions in the family, please explain here
Marital status*

MarriedDivorcedSingle
Best way to communicate with you*

CallTextEmail
Schedule & Preferences
Please provide some dates and times that you would like to have lessons for your child/ren*
Please share any specific topics you would like your children to study
Thank you for your interest in Alef at Home! We will be in touch with you within 48 hours regarding your application and scheduling.

Feel free to reach out to Musia with any questions: 718.744.4181 | [email protected]
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Alef at Home Application