STUDENT REGISTRATION

Tell us about your daughter.

This form helps us understand her strengths, needs, and your hopes for the school year. Fields marked * are required.

1. Parent or Guardian

Parent/Guardian Name *Relationship to Student *Phone / WhatsApp *Email Address *

2. Student Information

Student’s Full Name *Date of Birth *Current Kita / Grade *Requested Kita *Current School or Learning ProgramLanguages SpokenHebrew Reading & Comprehension Level

3. Her Learning Profile

What are your daughter’s greatest strengths? *Academic, emotional, social, creative, or practical strengths.In which areas does she need the most support? *How do you currently support these qualities or challenges at home?What learning supports or accommodations help her succeed?Please share only information you feel is relevant to her education.Which subjects, activities, or creative areas does she enjoy most?

4. Health & Safety

Please provide only information relevant to safely supporting your daughter at school.

Does your daughter have any medical conditions, allergies, or health needs?Write “None” if there are none.Does she currently take any medications?Include the medication name and any school-related instructions. Write “None” if applicable.

5. Personal Reference

Please provide one adult outside the immediate household who knows your daughter and whom we may contact.

Reference’s Full Name *Relationship to Student *Phone Number *Email Address

6. Your Hopes for This School Year

What would you most like to see your daughter achieve by the end of this school year?

Limudei Kodesh goalsEmotional growth and confidence goalsIndependence and Jewish home life skillsCreative, vocational, or practical skillsMost important overall achievement *If you could choose one meaningful change or accomplishment for this year, what would it be?

7. Photos

Photos are stored privately and used only to review enrollment and become familiar with the student and her family. JPG, PNG, or WebP; maximum 5 MB each.

Student PhotoFamily Photo

8. Final Details

Step Up Scholarship StatusAnything else you would like us to know?

Your information is used only for enrollment review and communication with your family.