2024-2025 Parenting Program Application

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Admission to the Parenting Program is based on availability and is not guaranteed by the submission of this form. An application fee ($18 for temple members, $36 for non-members) will be charged upon submission of this form.

Priority for admission is given to:
1. Siblings of families currently enrolled in the Nursery School and children currently enrolled in the Parenting Program.
2. Temple members (within this group, priority is given according to the length of your membership).
3. Non-members through a random selection.
4. Any remaining spots will be filled on a first-come, first-served basis after the previous criteria have been met.

CHILD'S INFORMATION

* Child: First Name

* Child: Last Name

* Child: Date of Birth

* Child: Gender

Class Preference

* Class Preference

PARENT(S) INFORMATION

* Parent 1: First Name

* Parent 1: Last Name

* Parent 1: Home Address

Parent 1: Home Address (2)

* Parent 1: City

* Parent 1: State

* Parent 1: Mobile

* Parent 1: Email

Parent 2: First Name

Parent 2: Last Name

Parent 2: Mobile

Parent 2: Email

Does Parent 2 have a different address?

* Parent 2: Home Address

Parent 2: Home Address (2)

* Parent 2: City

* Parent 2: State

* Parent 2: Zip

List Names & Ages of Siblings

* How did you hear about the Parenting Program?

* What would you like the early childhood experience to provide for your child?

* Is there anything else that would be helpful for us to know about your child?

* Are you currently a member of Temple Shaaray Teflia?

Are you interested in learning more about temple membership?

Mon, December 30, 2024 29 Kislev 5785