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2023-02-17T16:49:06+00:00
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Mother's Name
First *
Last *
Jewish (Mother) *
Yes
No
Birth or Choice
Birth
Choice
Father's Name
First
(Required)
Last *
Jewish (Father) *
Yes
No
Birth or Choice
Birth
Choice
Address
Street Address
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Email
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Child Name
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Last
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We have two locations, please choose which location you want, or whether it does not matter
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SIB
Whereever ther is space
Date
(Required)
YYYY slash MM slash DD
What languages your child is exposed to
Is your family currently members of a Jewish community? If yes, which one
List any previous schools she/he attended
Where did you hear about The Gan program?
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