EmailMe Form - Yavneh Prospective Family Meeting Request

Parent/Guardian 1 Name *

First Last

Parent Guardian 1 Email *

Parent Guardian 2 Name

First Last

Parent Guardian 2 Email

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone (best number to reach you) *

### - ### - ####

Shul Affiliation *

Please indicate to which synagogue you are affiliated.

Please fill out this section for only the children for which you are interest in Yavneh

Child 1 Name *

First Last

Child 1 Birthday *

MM / DD / YYYY

Child 1 Grade Entering *

Please fill out this section if you are interested in Yavneh for a second child

Child 2 Name

First Last

Child 2 Birthday

MM / DD / YYYY

Child 2 Grade Entering

Please fill out this section if you are interested in Yavneh for a third child

Child 3 Name

First Last

Child 3 Birthday

MM / DD / YYYY

Child 3 Grade Entering

Please fill out this section if you are interested in Yavneh for a fourth child

Child 4 Name

First Last

Child 4 Birthday

MM / DD / YYYY

Child 4 Grade Entering

How did you hear about our school

Which school are your children curently attending

If your children are attending another school, what is the reason for changing schools?