2022-23 Etgar Registration Application

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* First and last name of parent/guardian 1

* Email for parent/guardian 1

* Best phone number for parent/guardian 1

First and last name of parent/guardian 2 if applicable

Email for parent/guardian 2

Best phone number for parent/guardian 2

* First and last name of child 1

* Hebrew name of child 1

You can type in English or Hebrew letters

* Birthdate

* Child's grade as of September 2022

First and last name of child 2

Hebrew name of child 2

You can type in English or Hebrew letters

Birthdate

Child's grade as of September 2022

* Parent/guardian 1 address

* Parent/guardian 1 city

* Parent/guardian 1 state

* Parent/guardian 1 zip code

Parent/guardian 2 address if applicable

Parent/guardian 2 city

Parent/guardian 2 state

Parent/guardian 2 zip code

* Emergency contact

Please provide name, relationship to child and best phone number

* I agree to receive text messages from Etgar Learning Collaborative.

* I give permission for my name, phone number and email to be included in a school directory.

* I give permission to have my child(ren)'s photo taken during class and programs.

* I give permission to have minor first aid administered to my child(ren).

* I give permission for my child to attend field trips including transportation by car or bus.

You will be notified well in advance any time your child will go out of the building and can opt out of permission for any reason.

My child(ren) has a 504b, an IEP, a social issue or emotional issue.

We want every child to succeed and to have every opportunity to thrive to their ability. Please let us know how to best support your child.

* Book fee

Number of children in K - 7th grade$75 per child in K - 7th grade

* Attendance Brit (agreement)

I/we will make every effort for our child(ren) to maintain excellent attendance, both at virtual Tuesdays and in person Sundays. There may be times when extenuating circumstances require my child(ren) to be absent.

Sun, December 4 2022 10 Kislev 5783