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?

Yes

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?

Yes

How did you hear about us?

Account Details

E-mail

Enter your name and e-mail address for your confirmation

First Name

Last Name

Payment Information

Account

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

Comments

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