Orientation Registration : Sunday, Sept. 14: 10am-12pm

Cost per child for orientation: $25

If you are registering more than one child, fill out an additional form for

each child, you will only need to fill out the "STUDENT PROFILE" for any

additional forms. 

The ORIENTATION will be located at The Oakwood Toluca Hills:

3600 Barham Blvd, 90068.  It will be in the North Club House,

in the Vine Room. Enter from the main entrance on Barham.  If you have

any questions on the location, please contact Michal: 818.856.5794. 

 

 I would like to register for the orientation on Sunday September 14.  

Number of attendees  Adults  Kids. Cost per child: $25 

STUDENT PROFILE
 First Name  
 Last Name  
 Hebrew Name  
 DOB  
 School  
 Grade Entering as of 8/15/2014  

 

PARENT INFORMATION
 Father's name  
 Phone  
 Mother's Name  
 Phone  
 Are the natural father and mother of the child Jewish?  Yes       No
 If no, please explain:  
 Address  
 City  
 State  
 Zip  
 Her Email address  
 His Email address  
Referred by:  

 

 

EMERGENCY INFORMATION
Emergenct Contact  
 Phone  

  

Payment 

Card Type

Visa

Mastercard

American Express

Name on card  
Card number  
Security code  
Expiration Date  

 Please Charge my Card:

Amount: