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Participate

Parent Handbook
If you did not yet read the parent handbook, please review it entirely before completing this form.
I've read the following sections in the parent handbook*

First Days Info / Transition ProcessSupplies needed in school and dailySchool CalendarTuition and Parent Involvement (including hours and fruit/veggies one week a month)Gan menu and daily scheduleHealth & Wellness policies
Student's Information
Full Name*
First Name Last Name Age at start of School Year
Hebrew Name*
Birth Date*

Month Day Year
Previous daycare / schooling experience*
Does your child have any allergies?*
Choose a Program*

Twice a weekThree times a weekEvery day (5x a week)
Family Orientation
Father*
First Name Last Name
Father's Occupation
Was father born to a Jewish mother?*
This does not affect acceptance in our program.
Father's Email
Father's Cell

Area Code Phone Number
Mother*
First Name Last Name
Mother's occupation
Was mother born to a Jewish mother?*
This does not affect acceptance in our program.
Mother's Email
Mother's Cell

Area Code Phone Number
Marital Status
Languages spoken at home
Parent Involvement
What area would dad be interested in participating in the Gan?*
Ideas can include but are not limited to: Being a second teacher on occassion, doing a specialty with the students (art, music etc), running errands, creating/maintainig a garden, researching/planning activities (with Chyena), and more. Teaching the children a skill. The sky's the limit!
What area would mom be interested in participating in the Gan?*
Ideas can include but are not limited to: Being a second teacher on occassion, doing a specialty with the students (art, music etc), running errands, creating/maintainig a garden, researching/planning activities (with Chyena), and more. Teaching the children a skill. Organizing/Paying for a field trip. The sky's the limit!
Do you feel that you are able to do the amount of hours each month (2-4 hours a month, depending on many days at Gan your child is at?)*
Required. Please check off*

In the event that 2 months go by without any involvement from either parent (after being asked), I agree to be charged $50 for every hour unfulfilled to cover resulting expenses.

Credit card to have on file. Nothing will be charged today or without communication. This will not be used to cover monthly payments unless you ask us to. This is just so we can have on file (related to above question).*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Emergency Information
Doctor*
First Name Last Name
Phone Number*

Area Code Phone Number
Emergency Contact (if parent is not reachable)*
First Name Last Name Relation to child
Phone Number*

Area Code Phone Number
Getting to know your child
What are your child's favorite activities?
What do you perceive to be your child's strengths?
What are your child's favorite foods and snacks? Is there any day's lunch on the menu that you foresee being a problem for your child?
Which words do you use when complimenting your child?
Please share with us how you discipline your child and/or gain cooperation at home?
Do you have any concerns regarding your child that you would like us to be aware of?
What are you hoping your child will gain and learn at Gan this year?
If you could create a perfect school setting for your child, how would you describe it?
Anything else you'd like to share?
Thank you for taking the time to fill this out!
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Parent Handbook

Student's Information

Family Orientation

Parent Involvement

Emergency Information

Getting to know your child