Application Form - clhds.com

You can register new students with this form, using one form per child. After filling in this form, we will reach out to set up an interview time.
Child's First Name:*
Child's DOB:*

Month Day Year
Mother's Name:*

First Name Last Name
Mother Email:*
Mother Phone:*

Area Code Phone Number
Father's Name:*

First Name Last Name
Father's Email:*
Father Phone:*

Area Code Phone Number
Our Preschool age groups are:

Tiny Tots is for children who will be 18-24 months by September 1st. (FULL, registration closed)
Toddlers is for children who will be 2 by September 31st. (FULL, registration closed)
Nursery is for children who will be 3 by October 31st.
Kindergarten is for children who will be 4 by October 31st.
Grade Entering:*
You can register your child for Extended Day (till 3pm) here. There is a $150 non-refundable application fee to hold a spot in the Extended Day program, which will be credited towards your tuition.
Preschool Extended Day:

I would like to sign up for 3pm Extended Day
Choose any that apply:

I am a Cheder staff memberI have other children in Cheder
Total

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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