Ohr Avner Hebrew School

Sign up for Ohr Avner Hebrew School
Please fill out 1 FORM FOR EACH CHILD who will be attending
Hebrew School is scheduled for the following dates:
Aug
Sept
Oct
Nov
Dec
Jan
Feb
Mar
Apr
May
Student's Name
First Name Last Name
Birth Date

Month Day Year
Please tell us about your child's Jewish knowledge/ experience. (ex. Goes to Jewish school, goes to public school, knows Aleph, can teach Aleph etc.)
Parent's Full Name
First Name Last Name
Phone Number

Area Code Phone Number
E-mail
Each session is $5 per child. This includes snack, pizza lunch, a craft, and learning. $20 will be charged monthly from the credit card information given below.

If this is not suitable or you are in need of financial scholarship, please type below the amount of money you feel able to pay per session. Your card will not be charged and we will contact you to confirm your scholarship.
Scholarship Request Amount I can pay per month:
Payment Information

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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Sign up for Ohr Avner Hebrew School