Pick Up From School - New York Hebrew

If you have chosen the ‘Pick Up from School’ option in your application form please fill out the following form before September 12
Full Name
First NameLast Name
E-mail
Child 1
Name of Child
First NameLast Name
Name of School
Grade
Class
Name of Teacher
Time of Dismissal
HourMinutes
Please Specify Area of Pick Up (on school grounds)
Child 2
Name of Child
First NameLast Name
Name of School
Grade
Class
Name of Teacher
Time of Dismissal
HourMinutes
Please Specify Area of Pick Up (on school grounds)
Child 3
Name of Child
First NameLast Name
Name of School
Grade
Class
Name of Teacher
Time of Dismissal
HourMinutes
Please Specify Area of Pick Up (on school grounds)
Child 4
Name of Child
First NameLast Name
Name of School
Grade
Class
Name of Teacher
Time of Dismissal
HourMinutes
Please Specify Area of Pick Up (on school grounds)
Once we receive your form we will provide you with the name of the individual/s who will be picking up your child/ren from school so you may let the school know. Please note that there will not be any pickup service on the first day of Hebrew School.
Note: Please notify our school on a day when pick up will not be necessary
Should be Empty:

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