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Admission

Admission

SILVERSTEIN PRESCHOOL OF THE ARTS

Please email us a picture of your child with this application at: info@shagn.org

Application 2015-2016

Student's Information
Last Name
First Name
Hebrew Name
Date of Birth Sex M F
Date of Enrollment
Address
City, State, Zip
Home Telephone
Father's Information
Father’s Name Father’s Cell
Father’s Email
Occupation Business Phone
Company you work for
Mother's Information
Mother’s Name Mother’s Cell
Mother’s Email
Occupation Business Phone
Company you work for
How many siblings?
Names and Ages
Paternal Grandparents
Names
Address
City / State / Zip
Phone Number
Email
Maternal Grandparents
Name
Address
City / State / Zip
Phone Number
Email
Has your child attended any previous school /daycare /or playgroup program? Yes No
If yes, please name the program
Year Attended
Name of Synagogue affiliation
Where there any conversions or adoptions in the family? Yes No
If yes, please explain
How did you hear about us?
Please check the appropriate grade that you are applying for:
Nursery Aleph (must be 2 by 12/1/2015)
Nursery Bet (must be 3 by 12/1/2015)
Nursery Gimel (must be 4 by 12/1/15)
Kindergarten (must be 5 by 12/1/15)
Grade 1 (must be 6 by 12/1/15)
Grade 2 (must be 7 by 12/1/15)
Grade 3 (must be 8 by 12/1/15)
Grade 4 (must be 9 by 12/1/15)
Grade 5 (must be 10 by 12/1/15)
Grade 6 (must be 11 by 12/1/15)
Grade 7 (must be 12 by 12/1/15)
Grade 8 (must be 13 by 12/1/15)


Please fill out every field of this application form.

You will be called to make an appointment for an interview with your child.

This form is NOT registration.