Register | Congregation Dor Hadash

General Information

Family Name

Can we include your information in our school directory?This will be distributed to school families onlyYesNo

Parent #1

Name

Phone Number(s)

Home

Cell

Work

Can we send you text messages?YesNo

Address

Street

City

State

Zip

Parent #2

If applicable

Name

Phone Number(s)

Home

Cell

Work

Can we send you text messages?YesNo

AddressIf different from Parent #1

Street

City

State

Zip

Child #1

Name

Hebrew Name

Grade and School (include School District)

Birthdate

Child #2

If applicable

Name

Hebrew Name

Grade and School (include School District)

Birthdate

Child #3

If applicable

Name

Hebrew Name

Grade and School (include School District)

Birthdate

Emergency Contact #1

Other than parent

Name

Relationship

Phone Number

Emergency Contact #2

Other than parent

Name

Relationship

Phone Number

You're almost done!

Here's a link to our student information and release form. Please print this form for EACH child and complete one copy per child in your family.

Click here to view form

Thank you! Your submission has been received!

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Dor Hadash Religious School
Student Registration Form

2019 - 2020

General Information

Parent #1

Parent #2

Child #1

Child #2

Child #3

Emergency Contact #1

Emergency Contact #2

You're almost done!

About

Religious School

Get Involved

Worship

Dor Hadash Religious SchoolStudent Registration Form

2019 - 2020

General Information

Parent #1

Parent #2

Child #1

Child #2

Child #3

Emergency Contact #1

Emergency Contact #2

You're almost done!

About

Religious School

Get Involved

Worship

Dor Hadash Religious School
Student Registration Form