Online Registration Form

Online Registration Form

   Online Registration Form ( Click here to register via fax or mail)  

To the National Committee for the Furtherance of Jewish Education
and the Principal of PS

Please enroll my child in the Released Time Program  

First Name
Last Name
Address
City/State/Zip           
Phone Number
Cell Number
Email address
Date of Birth       Year
Grade
Room Number

PS

    
Comment (optional)

As the Parent or legal guardian of the above child,
I enroll my above child in the Released Time Program,
throughout the school year.

Name     Initials     Date   

- OPTIONAL -

To add more children in the same household, please use the fields below:

Child 2:               First Name                                 Last Name                       Date of birth

               

                      PS Number              Grade             Room Number

                   


Child 3 :             First Name                                 Last Name                       Date of birth
                         
 
                       PS Number              Grade             Room Number
                   
  

 

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