Re-Registration

Current Student Re-Registration Form 2021/2022

A non-refundable deposit of $500.00 must be submitted with this form.

PLEASE BE AWARE THAT THE INFORMATION ON THIS FORM WILL BE SHARED WITH
OUR HOST SCHOOL, SCHECK HILLEL COMMUNITY SCHOOL








MaleFemale
White/ CaucasianAmerican Indian or Alaskan NativeAsianNative Hawaiian or Other Pacific IslanderBlack or African AmericanHispanic or Latino

Parent/Guardian Information


MarriedDivorcedWidowedSingle


Both Parents (married)Both Parents (shared custody)FatherMotherOther

Parent 1














Parent 2














Emergency Contact Information



Financial Information

YesNoDon’t Know
YesNoDon’t Know

YesNoNeed more information
YesNoNeed more information
YesNo
*Please make sure to hit submit button before you proceed to payment

Sign up to be added to our mailing list