Tzemach Tzedek School

Beis Heh
Phone NumberCall 773­-­413-­9770

Educating the minds and hearts of children to create a world full of the knowledge of Hashem

Tzemach Tzedek School

Beis Heh

Educating the minds and hearts of children to create a world full of the knowledge of Hashem

Phone Number773­-­413­-­9770

Error message

Deprecated function: Creation of dynamic property alpha_theme_container::$delta is deprecated in alpha_theme_container->__construct() (line 25 of /home1/cmelamed/public_html/sites/all/themes/omega/alpha/includes/base.inc).

Students Registration

Dear Parents of Applicant 'שיחי:

Shalom U’vracha!,

We are pleased that you are interested in joining our School. Please complete & Submit the form below. The on-line form will help to expedite your application.

STUDENT INFORMATION CHILD 1

Please describe any other concerns (social, emotional, scholastic).

STUDENT INFORMATION CHILD 2

Please describe any other concerns (social, emotional, scholastic).

STUDENT INFORMATION CHILD 3

Please describe any other concerns (social, emotional, scholastic).

STUDENT INFORMATION CHILD 4

Please describe any other concerns (social, emotional, scholastic).

STUDENT INFORMATION CHILD 5

Please describe any other concerns (social, emotional, scholastic).

STUDENT INFORMATION CHILD 6

Please describe any other concerns (social, emotional, scholastic).

PARENT INFORMATION

Were there any conversions or adoptions in the children's family?

- If yes, please explain

FATHER

MOTHER

EMERGENCY INFORMATION
Persons to be contacted in case of an emergency when neither parents cannot be reached.

Contact  Number

In an emergency, when either parent can't be reached, I authorize the school to call:

     I hereby GIVE consent to the administration of Tzemach Tzedek School to take whatever medical measures they deem necessary for my child in the event of a medical emergency.