New Member Shevet Harel 2020-2021

General Information

How Many Children Are trying out Tzofim? * 🛈

Parent 1 First Name *

Parent 1 Last Name *

Parent 1 Phone Number *

Parent 1 Email Address *

Parent 2 First Name

Parent 2 Last Name

Parent 2 Phone number

Parent 2 email address

Participant's Street Address *

Participant Address Line 2

City *

Zip Code *

Any Additional Parent Information: If you are able to contribute to our activities as a Doctor, Nurse, Life Guard, Cook, Teacher, Psychologist or have any other skill please inform us

How did you hear about us?

1st Child

Child 1 First Name *

Child 1 Last Name *

Gender 1 *

Date of Birth 1 * +

Grades 1 *

Please use this space if there is anything we need to know

2nd Child

2nd Child First Name *

2nd Child Last Name *

Grade *

Date of Birth * +

Gender *

Please use this space if there is anything we need to know

3rd Child

3rd Child First Name *

3rd Child Last Name *

Gender *

Grade *

Date of Birth * +

Please use this space if there is anything we need to know

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