Shalom Ivrit

Thursdays, 5:30 pm - 6:45 pm. Ages K-10.
Session 1: January 9 - March 6

An exciting program that teaches children how to speak in Hebrew.

Taught by an Israeli Educator.

Hot Dinner will be served.

TRY A WEEK FOR FREE!
No child will be turned away due to lack of funds, please email [email protected] for discreet inquiries.
Parent Information
Parent Full Name
First Name Last Name
Parent Cell Phone Number
Parent 1 E-mail
Parent 2 E-mail
Student Information
How many students are attending?
Student 1
Full Name
First Name Last Name
Hebrew Name If applicable
Date of Birth

Month Day Year
Current Grade
Please describe your child’s understanding of or exposure to spoken Hebrew. If not applicable just skip.
Please share a little about your goals for and expectations of this program.
Student 2
Full Name
First Name Last Name
Hebrew Name If applicable
Date of Birth

Month Day Year
Current Grade
Please describe your child’s understanding of or exposure to spoken Hebrew. If not applicable just skip.
Please share a little about your goals for and expectations of this program.
More Information
Medical Information - Any Medical Challenges?

YesNo
Please explain
Is there any dietary sensitivities?

YesNo
Please explain
Emergency Contact - Full Name
First Name Last Name
Relation
Phone Number
Tuition
Session 1 January 9 - March 6. Costs include all materials, snacks & hot dinners.
Full Tuition

$395 One Child$740 Two Children
Subsidized Tuition

$295 One Child$575 Two Children
Total

$0.00

Payment

Credit Card Check

Postal / Zip Code

Country

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Parent Information