Pico Mesivta Enrollment Form
  • The New Yeshiva High School of
    Los Angeles

    (Name to be determined- available for dedication)
    New Student Enrollment Form

  • Student Information

    Please note: This application should be completed by a parent or legal guardian.
  • Date of Birth*
     - -
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  • General Health Information

  • Does your son take any medications?*
  • Does your son have any allergies?*
  • Does your son have any physical or learning disabilities?*
  • Are there any special circumstances in your medical history, family life, or emotional development that we should know about?*
  • Family Information

  • Format: (000) 000-0000.
  • Father Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Mother Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Financial Information:

    The Yeshiva is very dedicated to providing a warm and nurturing environment where the students can grow and achieve their fullest potential.

    Registration Fee $1,000
    Tuition Fee* $23,500

    *Please note that the tuition fee includes $3,600 Membership Fee.

     

    Tuition will be paid over 10 months from August- May.

  • *
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      Non-Refundable Enrollment Fee
      $1,000.00
        
      Total
      $0.00

      Credit Card

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