Ivrit Lesson Application Form
Please complete the following for each student interested in having Hebrew lessons with The North Shore Synagogue
Parent
*
First Name
Last Name
Name of student
*
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Mobile number
*
-
Prefix
Phone Number
School
*
School name
School year in 2023
*
School Year
Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Level of Hebrew knowledge
*
Beginner
Some knowledge
Good knowledge
Understands Hebrew at home
Submit Form
Should be Empty: