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Kids & Youth Gan- Preschool- Toddlers • Nursery • PreK

Inquiry & Enrollment בקשה להרשמה לגן

INQUIRY FORM טופס בקשה למידע
Toddlers • Nursery • PreK
To learn more and schedule a tour, fill out this form here.
Gan Chabad Preschool welcomes children from 18 month - 4 years of age- Pre-K,
regardless of religious affiliation or background.

To enroll your child, or to learn more about Gan, please fill in the inquiry form below.

After submitting the from, please call Itty at : 516.359.2453 to schedule an interview appointment.

After the interview you will receive the details for our online enrollment.

גן חב"ד מקבל בברכה ילדים מגיל 18 חודשים על גיל 4
לרישום וקבלת מידע מפורט, אנא מלאו טופס זה
לאחר שמלאתם את הטופס, התקשרו לאיטי למספר: 516.359.2453 לקביעת מועד לפגישה וסיור בגן
MOTHER'S NAME*

Mother's First Name Mother's Last Name
MOTHER'S CELL PHONE NUMBER*

Area Code Phone Number
MOTHER'S E-mail
FATHER'S NAME*

Father's First Name Father's Last Name
FATHER'S CELL PHONE NUMBER*

Area Code Phone Number
FATHER'S E-MAIL*

ADDRESS*

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

NAME OF CHILD*

Child's First Name Child's Last Name
CHILD'S DATE OF BIRTH*

Month Day Year
Is the biological mother of the child/ren Jewish by birth?*

YesNo
Were there any conversions or adoptions in the child's/ren immediate or extended family?*

If yes, please explain
To which elementary school are you planing to send your child in the future?*
Siblings:*

Age & School attending (write NA if not applicable)
How did you hear about Gan Chabad?*

Facebook? Friend? Other? Please specify.
COMMENT
I would like to receive news and updates by email
Should be Empty:

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