Makor Registration 2025

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* First Name

* Last Name

* Email

* Cell

REGISTRATION

* How many children will you be registering for Makor or Hebrew School?

Please complete all requested information for each child below.

* First Name

* Last Name

Hebrew Name

* Birthday

* Gender

* Secular School

* Any allergies, medical conditions, or medications we should be aware of?

Enter "n/a" or "none" if none to report

* What can you tell us about this child's learning style? What would help this child be successful?

* Grade Requested:

* Bar/Bat Mitzvah Tutoring

Please Select OneI would like to enroll my child in bar/bat mitzvah tutoring ($500)Not required

EMERGENCY CONTACTS

* How many emergency contacts would you like to list?

* Name of Contact

* Relationship to Child(ren)

* Cell

Total to be paid:

After clicking Submit, you will be taken to a payment page. You may arrange payment online via credit card (3% fee) or ACH (no fee), or you may choose "Bill to my account" to pay by check or 3rd party. You will be given the option of splitting your total into monthly payments that automatically charge your credit card or bank account.

Sat, February 7 2026 20 Sh'vat 5786

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