541.488.7716 185 N. Mountain Ave Ashland, OR 97520

Wisdom Garden Registration 2023-24, Grade 3-5

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Student

Student's name*
Hebrew name (if they have one)
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Parent 1

Name - Parent 1*
Address - Parent 1*
Preferred Means of communication: please check one or both*

Parent 2

Name - Parent 2
Address - Parent 2
Preferred Means of communication: please check one or both

Emergency Contact

Name - Emergency Contact 1*
Name - Emergency Contact 2*

Tuition

3-5 Tuition is $200.
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No one turned away for financial reasons. Please call Ayala at 541-292-0805 if you need to make financial arrangements.

Please remit to the Havurah office, or mail in to:

Havurah Synagogue
P.O. Box 1262
Ashland, OR 97520

Or email to:
Ayala@ashlandhavurah.org

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