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Enrollment Form

Fill out the following enrollment form. You only need one enrollment form per family and you will sign up for classes when you make a payment.

Family Information

Parent Name #1:

E-mail:

Phone:

Mailing Address:

City:

State:

Zip:

Parent Name #2:

E-mail:

Phone:

Mailing Address

City:

State:

Zip:

Student Information

Student Name #1:

E-mail:

Birthdate:

Special Considerations:

Student Name #2:

E-mail:

Birthdate:

Special Considerations:

Student Name #3:

E-mail:

Birthdate:

Special Considerations:

Student Name #4:

E-mail:

Birthdate:

Special Considerations:

If you need to enroll more students, please fill out an additional enrollment form after you submit this one.

 

If you have any questions, please e-mail enrollment@sparksofmessiah.com.

I have read and I agree to Sparks of Messiah Online Torah School's policies. (Required)

I authorize Sparks of Messiah Online Torah School to send me text reminders using the Remind.com service. Text and data rates my apply. You will receive a text message confirming your enrollment. (Optional)

I have read and I agree to the Student Media Release. Using student work and images/video in promotions and social media. (Optional)

Sign up for classes when you make a payment. The payment page will have the details of our payment plans.

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A project of Behold! Messianic Jewish Education.