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Ganon Gil Inquiry Form

We are so glad that you would like to know more about Ganon Gil! Please tell us a little bit about you and your child. We will be in touch with you to confirm your information and discuss current options available.

* Child's First and Last Name

* Child's Birthdate (MM/DD/YYYY)

About Parent 1

* Parent 1 First and Last Name

* Parent 1 Street Address, City, State and Zip Code

* Parent 1 Cell Phone Number (###-###-####)

* Parent 1 Home Phone Number

* Parent 1 Email Address

About Parent 2

Parent 2 First and Last Name

Parent 2 Street Address, City, State and Zip Code

Parent 2 Cell Phone Number (###-###-####)

Parent 2 Home Phone Number

Parent 2 Email Address

A Little Bit More

Are you interested in Full Days?

Approximately how many full days each week?

Are you interested in Half Days?

NOT AVAILABLE

Approximately how many full days each week?

Are you a member of The Temple-Tifereth Israel?

How did you hear about us?

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the payment amount by 3% to cover credit card fees (No fee for Checking)

Total:

Ganon Gil Inquiry Form

About Parent 1

About Parent 2

A Little Bit More

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Ganon Gil Inquiry Form

About Parent 1

About Parent 2

A Little Bit More

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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