Registration

SPARKS Registration
Number of children registering*
Student Information
Full Name*

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*

Address*

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

Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Please Select Programs *

Art Electives (Monday)Conversational Hebrew (Wednesday)Sparks Hebrew School (Thursday)Sparks Hebrew High (Sunday)
Please Select Art Elective Sessions

Fall SessionWinter SessionSpring Session
Please Select Conversational Hebrew Sessions

Fall SessionWinter SessionSpring Session
Student #2 Information
Full Name*

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Please Select Programs *

Art Electives (Monday)Conversational Hebrew (Wednesday)Sparks Hebrew School (Thursday)Sparks Hebrew High (Sunday)
Please Select Art Elective Sessions

Fall SessionWinter SessionSpring Session
Please Select Conversational Hebrew Sessions

Fall SessionWinter SessionSpring Session
Student #3 Information
Full Name*

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Please Select Programs *

Art Electives (Monday)Conversational Hebrew (Wednesday)Sparks Hebrew School (Thursday)Sparks Hebrew High (Sunday)
Please Select Art Elective Sessions

Fall SessionWinter SessionSpring Session
Please Select Conversational Hebrew Sessions

Fall SessionWinter SessionSpring Session
Student #4 Information
Full Name*

First Name Last Name
Hebrew Name

First Name Last Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Please Select Programs *

Art Electives (Monday)Conversational Hebrew (Wednesday)Sparks Hebrew School (Thursday)Sparks Hebrew High (Sunday)
Please Select Art Elective Sessions

Fall SessionWinter SessionSpring Session
Please Select Conversational Hebrew Sessions

Fall SessionWinter SessionSpring Session
Parents Information
Parent 1 Name*

First Name Last Name
Parent Cell*

Area Code Phone Number
E-mail*
Parent 2 Name

First Name Last Name
Parent 2 Cell

Area Code Phone Number
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I am willing to assist in school activities, please contact me
Payment
SPARKS Scholarship Fund: Help subsidize another child's education.

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SPARKS Registration

Student Information

Student #2 Information

Student #3 Information

Student #4 Information

Parents Information

Payment