HS Gesher 2021-2022

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Parent Name

Parent Last Name

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Student Primary Address

Student Zip Code

Student Name (First)

Student Name (Last)

Birthday

Grade 2021 - 2022

School Attending

Registration

Hebrew School Scholarship

We would like to receive Hebrew School scholarship assistanceWe are not sure if we will need scholarship assistance

Policies and Protocols

I/we understand that teens must be vaccinated for Covid-19 to participateI/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

Fri, November 7 2025 16 Cheshvan 5786

1320 8th Avenue ♦ Brooklyn, NY 11215 ♦ 718.768.1453 ♦ office@psjc.org

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