To apply as a pupil to join the Aleph Centre, please fill out the form below Childs detailsChild Surname: *Child Forenames: *Known as: *Hebrew Name: *School Year (at the time of starting at the Aleph Centre): *Child's Home Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryHome Phone Number: *Date of Birth: *Is child adopted? *YesNoCurrent siblings at the Aleph Centre and current class Parents detailsMother: Title, Forname and Surname: *Father: Title, Forname and Surname: *Mother's Email: *Father's Email: *Mother's Mobile Number: *Father's Mobile number: *Which e-mail would you like Aleph correspondence to go to? MothersFathersBothContact Details – Do you give us your permission to share your basic contact details (name and home phone number) with the other parents in your child’s class? *YesNoAre you members of a synagogue? *YesNoIf yes, which one? Date of parents' marriage and name of officiating Synagogue where marriage took place: *If you are not a member of HGSS would you like to be contacted about HGSS related events? YesNo Additional detailsChilds current and previous schools: *Does your child have any previous Jewish education? Please provide details *Does your child have any significant Medical requirements /allergies? *Does your child have any significant needs (educational/developmental / social)? *Details of parental involvement with communal, charitable or voluntary work Please name one other child who your son/daughter would like to have in their class We like to take photographs/videos of the children during their learning experiences for use in displays, publications and our website for promotional purposes. We would be grateful if you can agree to this. *I agreePlease select the payment option that is applicable to you. HGSS members: 1st child: £254 per term. Subsequent children: £203 per termUS Member (not HGSS): 1st child: £300 per term. Subsequent children: £231 per termNon US Members: 1st child: £431 per term. Subsequent children: £341 per termI/We undertake to pay the parental fees in connection with my/our child’s tuition at the HGSS Hebrew classes in accordance with the scale laid down from time to time. *I agreePlease tick if you are happy to receive information about other community events as well as about The Aleph Centre. YesYour personal details will be stored and used according to our Privacy Policy. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
