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Gan-Gani Preschool Registration 2026-2027
Hours & Rates
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
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
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
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
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 -
2025 Elsa's Place (9 to 18 months)
2025 Shorashim (18 months - 2 Years)
2025 Alim (2 - 3 Years)
2025 Nitzanim (3 - 4 Years)
2025 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
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
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
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 -
2025 Elsa's Place (9 to 18 months)
2025 Shorashim (18 months - 2 Years)
2025 Alim (2 - 3 Years)
2025 Nitzanim (3 - 4 Years)
2025 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
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
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
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 -
2025 Elsa's Place (9 to 18 months)
2025 Shorashim (18 months - 2 Years)
2025 Alim (2 - 3 Years)
2025 Nitzanim (3 - 4 Years)
2025 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
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
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
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 -
2025 Elsa's Place (9 to 18 months)
2025 Shorashim (18 months - 2 Years)
2025 Alim (2 - 3 Years)
2025 Nitzanim (3 - 4 Years)
2025 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
Registration + Snack & Supply Fee Child #1
$
Registration + Snack & Supply Fee Child #2
$
Registration + Snack & Supply Fee Child #3
$
Registration + Snack & Supply Fee Child #4
$
Discount Code
Discount
$
Chabad Center for Jewish Life & Learning
info@chabadsa.com
|
210-764-0300
|
14535 Blanco Rd.
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