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HS Gesher 2021-2022
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Parent Name
Parent Last Name
Your Email
Mobile Phone
Student Primary Address
Student Zip Code
Student Name (First)
Student Name (Last)
Birthday
Grade 2021 - 2022
Please Select One
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
School Attending
Registration
Please Select One
Gesher (PSJC Member)
Gesher (non-member)
Hebrew School Scholarship
We would like to receive Hebrew School scholarship assistance
We are not sure if we will need scholarship assistance
Policies and Protocols
I/we understand that teens must be vaccinated for Covid-19 to participate
I/we understand that teens must be masked at all times unless OUTSIDE and DISTANCED (until otherwise instructed)
I/we understand that any food will be served OUTSIDE and teens will remain DISTANCED will eating (unless/until policies shift)
I/we give permission for my/our teen to self-dismiss after Gesher
Proof of Vaccination
Tue, July 15 2025 19 Tammuz 5785
