Register for Shorashim 2019-2020

Student Information

(e.g. Shmuel ben Shlomo v'Sarah)
Please use this format MM-DD-YYYY.

Parent or Guardian

Note: The reason we ask for parent/guardian emails is because most of our communication throughout the year is sent out via email (updates, newsletters, changes, etc.)

Does your child have any special emotional, physical, educational, or dietary needs that we should know about?

Registration and Agreement

I give permission for my child to take walks on occasion.

Note: You will also be charged a $25 registration fee. Total program cost is $500.

For further information about payment plans and financial aid, please contact Rabbi Avi Olitzky.