2025-2026 Parenting Program- Gesher- Application

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Admission to the Gesher Program is based on availability and is not guaranteed by the submission of this form. An application fee ($36 for temple members, $45 for non-members) will be charged upon submission of this form.

*Please note that the Gesher Program is a gradual separation program, open to children turning two years old between 10/1/25 and 12/30/25.*

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 Gesher 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?

Tue, October 22, 2024 20 Tishri 5785