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Applicant Information

If you have multiple children applying, please register each child separately. The fact that your son was in the first program DOES NOT mean he will be in the second one. We can only accept a limited number of applicants. Thank you for understanding!

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* 1. What is your (Student) first name?

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* 2. What is your (Student) last name?

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* 3. What is your current Grade?

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* 4. Who is your Rebbe?

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* 5. What is your Mother's cell phone number?

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* 6. What is your Mother's Email address?

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* 7. What is your Father's cell phone number?

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* 8. What is your Father's email address?

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* 9. Do you have any siblings in the Sports Bonanza this session?

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