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JUDA Mentor Program 8th - 12th Grade
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Child's Information
Enrollment 2022-2023
*
Child's Name
Child's Hebrew Name
*
Child's Birth Date
*
School
*
Grade Entering
*
Previous Jewish Education
*
Address
*
City
*
Zip Code
*
Does your child have any physical/mental conditions we should be aware of?
Parent's Information
*
Father's First Name
*
Last Name
*
Phone Number
*
Email
*
Mother's First Name
*
Last Name
*
Phone Number
*
Email
JUDA
Mentor Program
2022-2023
No Cost
Please enroll My Child Into the JUDA Mentor Program
Tue, April 23 2024
15 Nisan 5784
Tue, April 23 2024 15 Nisan 5784
