Admissions Parent Tour Registration

Thank you for your interest in Beth Hillel Day School!
Applicant Name*
First Last
Applicant Current School*
Applicant Grade in September*
Applicant Date of Birth*
MM slash DD slash YYYY
Parent/Guardian 1 Name*
First Last
Parent/Guardian 1 Email*
Parent/Guardian 1 Phone Number*
Parent/Guardian 2 Name
First Last
Parent/Guardian 2 Email
Parent/Guardian 2 Phone Number
Please select your preferred Admissions Parent Tour Date:*
- Wednesday, January 25 at 9:00 am
Home Address*
Street Address City State ZIP Code
How did you learn about Beth Hillel Day School?*

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Thank you for your interest in Beth Hillel Day School!