Printed fromJewishSMTX.com

Educate your child... educate a generation!

ב"ה

Registration

Register today to ensure a Jewish tomorrow.

Please complete the form below.

If you have any questions, feel free to contact our Hebrew School Director, Mrs.Chaya Weingarten, to discuss them! Call 512-363-6874 or click here to email.
Section 1. Parent information
Parent Full Name

First Name Last Name
Phone Number

Area Code Phone Number
E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent 2
Full Name

First Name Last Name
Phone Number

Area Code Phone Number
E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status

Married Divorced Other
Section 2. Child's Information
Full Name

First Name Last Name
Birth Date

Month Day Year
Grade
Hebrew Name
Register an additional child
Full Name
Birth Date

Month Day Year
Grade
Hebrew Name
Emergency Information
Emergency Contact

First Name Last Name
Phone Number

Area Code Phone Number
Relationship to Child
Allergies:
Special needs:
Comments:
Should be Empty:

This page uses TLS encryption to keep your data secure.