Skip to main content
About
About Chabad
Contact
Events
Youth
Gan Gani Preschool
Camp Gan Israel
HEBREW SCHOOL OF THE ARTS
Juda
Cteen
Community
Shul
Adult Education
Women's League of Chabad
Men's Club
Sunshine Club
Young & Jewish SA
Mikvah
The IBC Children's Playground
Eiruv
Visitor Info
Facility Rental
PICTURES
Affiliates
Donate
Gan-Gani Preschool Registration 2023-2024
More Info
Father
First Name
*
Last Name
*
Phone Number
*
Email
*
Gender
Female
Male
Street Address
*
City
*
Postal Code
*
State/Province
*
Background and additional info
Born to Jewish faith?
Yes
No
Converted to Judaism?
Yes
No
Employment
Occupation
*
Name of Business
Business Phone Number
Address of Business
Mother
First Name
*
Last Name
*
Phone Number
*
Email
*
Gender
Female
Male
Share address of
Parents are married
Marital Status
*
- Select -
Divorced
Separated
Street Address
*
City
*
Postal Code
*
State/Province
*
Kids living with?
*
- Select -
Father
Mother
Relationship to Father Relationship Type(s)
Spouse of
Partner of
Ex-Spouse of
Background and additional info
Born to Jewish faith?
Yes
No
Converted to Judaism?
Yes
No
Employment
Occupation
*
Name of Business
Business Phone Number
Address of Business
How many kids do you want to apply for?
*
1
2
3
4
Child 1
First Name
*
Last Name
*
Nickname
Hebrew Name
Example: David or דוד
Gender
*
- Select -
Female
Male
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
address
- None -
Child live with the Father
Child live with the Mother
Background and additional info
Adopted?
Yes
No
Born to Jewish faith?
Yes
No
Converted to Judaism?
Yes
No
Class entering
*
- Select -
Elsa's Place (9 to 18 months)
Shorashim (18 months - 2 Years)
Alim (2 - 3 Years)
Nitzanim (3 - 4 Years)
Pericha (4 - 5 Years)
Month and year child will enter
Medical History
Does the child have a chronic illness?
*
Yes
No
receiving medication on a regular basis?
*
Yes
No
Does the child have allergies?
*
Yes
No
Allergy details
*
Please list any information that may directly affect the safe care or medical treatment of your child
Snack & Supply fee Child 1
*
- Select -
5 Days a week - $625
3 Days a week - $525
2 Days a week - $425
Child 2
First Name
*
Last Name
*
Nickname
Hebrew Name
Example: David or דוד
Gender
*
- Select -
Female
Male
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
address
- None -
Child live with the Father
Child live with the Mother
Background and additional info
Adopted?
Yes
No
Born to Jewish faith?
Yes
No
Converted to Judaism?
Yes
No
Class entering
*
- Select -
Elsa's Place (9 to 18 months)
Shorashim (18 months - 2 Years)
Alim (2 - 3 Years)
Nitzanim (3 - 4 Years)
Pericha (4 - 5 Years)
Month and year child will enter
Medical History
Does the child have a chronic illness?
*
Yes
No
receiving medication on a regular basis?
*
Yes
No
Does the child have allergies?
*
Yes
No
Allergy details
*
Please list any information that may directly affect the safe care or medical treatment of your child
Snack & Supply fee Child 2
*
- Select -
5 Days a week - $625
3 Days a week - $525
2 Days a week - $425
Child 3
First Name
*
Last Name
*
Nickname
Hebrew Name
Example: David or דוד
Gender
*
- Select -
Female
Male
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
address
- None -
Child live with the Father
Child live with the Mother
Background and additional info
Adopted?
Yes
No
Born to Jewish faith?
Yes
No
Converted to Judaism?
Yes
No
Class entering
*
- Select -
Elsa's Place (9 to 18 months)
Shorashim (18 months - 2 Years)
Alim (2 - 3 Years)
Nitzanim (3 - 4 Years)
Pericha (4 - 5 Years)
Month and year child will enter
Medical History
Does the child have a chronic illness?
*
Yes
No
receiving medication on a regular basis?
*
Yes
No
Does the child have allergies?
*
Yes
No
Allergy details
*
Please list any information that may directly affect the safe care or medical treatment of your child
Snack & Supply fee Child 3
*
- Select -
5 Days a week - $625
3 Days a week - $525
2 Days a week - $425
Child 4
First Name
*
Last Name
*
Nickname
Hebrew Name
Example: David or דוד
Gender
*
- Select -
Female
Male
Birth Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
address
- None -
Child live with the Father
Child live with the Mother
Background and additional info
Adopted?
Yes
No
Born to Jewish faith?
Yes
No
Converted to Judaism?
Yes
No
Class entering
*
- Select -
Elsa's Place (9 to 18 months)
Shorashim (18 months - 2 Years)
Alim (2 - 3 Years)
Nitzanim (3 - 4 Years)
Pericha (4 - 5 Years)
Month and year child will enter
Medical History
Does the child have a chronic illness?
*
Yes
No
receiving medication on a regular basis?
*
Yes
No
Does the child have allergies?
*
Yes
No
Allergy details
*
Please list any information that may directly affect the safe care or medical treatment of your child
Snack & Supply fee Child 4
*
- Select -
5 Days a week - $625
3 Days a week - $525
2 Days a week - $425
Emergency Contact 1
First Name
*
Last Name
*
Phone Number
*
Relationship to the kids
Emergency Contact 2
First Name
*
Last Name
*
Phone Number
*
Relationship to the kids
Authorization for Emergency Medical Care
In the event my child becomes ill or is injured at school or while under the supervision of the school, I hereby authorize any employee or representative of Gan Gani Preschool to obtain medical aid for my child. I have been advised by the school that it will exercise such authorization when I cannot be contacted in time. I acknowledge that charges for such medical care will be my responsibility and not that of Gan Gani Preschool.
Doctor’s Full Name
*
Office Phone Number
*
Address
*
City
*
State
*
Zip
*
Preferred Hospital
Hospital Location/Address
Emergency Room Phone Number
Signature of Parent
*
Registration + Snack & Supply Fee Child #1
$
Registration + Snack & Supply Fee Child #2
$
Registration + Snack & Supply Fee Child #3
$
Registration + Snack & Supply Fee Child #4
$
Chabad Center for Jewish Life & Learning
info@chabadsa.com
|
210-764-0300
|
14535 Blanco Rd.
Powered by
ChabadSuite
log in
