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Bill and Sid Rubin Preschool Inquiry
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Thank you for your interest in the Bill and Sid Rubin Infant Toddler Center and Preschool @ Beth Israel. Please fill out the following information so that we may assist you and understand what your family is looking for in infant/toddler care or preschool.
Space is limited for ages 2-5 for the 2023-2024 Preschool Year.
Our Infant Toddler Center is currently FULL. We have very limited space available for infants and toddlers beginning in Spring or Summer 2024.
A member of our school office team will be in touch soon!
Date of Inquiry
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Parent 1 First Name
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Parent 1 Last Name
*
Parent 1 Cell Phone
*
Parent 1 Email
Parent 2 First Name
Parent 2 Last Name
Parent 2 Cell Phone
Parent 2 Email
Home Address
City
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Zip Code
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Child 1 First Name
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Child 1 Last Name
*
Child 1 Gender
Unknown
Female
Male
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Child 1 Birthdate or anticipated due date
Which program are you interested in learning more about for child 1?
Infant Toddler Center: 3+ Months
Preschool 2023-2024: 2 year olds - Pre K
Child 2 First Name
Child 2 Last Name
Child 2 Gender
Unknown
Female
Male
Child 2 Birthdate or anticipated due date
Which program are you interested in learning more about for child 2?
Infant Toddler Center: 3+ Months
Preschool 2023-2024: 2 year olds - Pre K
How did you hear about us?
How many days per week are you interested in?
2
3
5
Flexible
How many hours of care are you seeking?
Part Time (9am-1pm)
Morning Care (7:30am-9am)
Extended Care (1pm-4pm)
Extended Care (1-5pm)
When do you hope/plan to begin your child(ren)'s enrollment?
Are both parents Jewish?
Please Select One
Yes
No
Is one parent Jewish?
Please Select One
Yes
No
Are you already a Beth Israel Member?
Please Select One
Yes
No
If not, is your family interested in learning more about Temple Membership?
Please Select One
Yes
No
Comments/Any additional information you would like to share with us:
Sat, September 30 2023 15 Tishrei 5784