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Student Information

Student's name

Household Information

Parent/Guardian 1

This parent/guardian will be the primary contact we will use for your application
Parent/Guardian 1 lives with the student?

Parent 2/ Guardian

Parent/Guardian 2 lives with the student?
Parent/Guardian 2 wants to receive correspondence?

General information

Tell us more about your child and family
Is the child Jewish?
Is the mother or father Jewish?
Are there any conversions in the family?

Sibling information

Information about current school/preschool

I consent for Kineret Tamim Academy to contact with the teacher/principal of my child's current school for references
I understand that acceptance of my child to Kineret Tamim Academy does not mean they will be able to have a Bat or Bar Mitzvah at the Chabad family Shul.