Student Information
First Name
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Last Name
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Birthdate (mm/dd/yyyy)
*
Grade 2025-2026
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Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Home Address
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City
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State
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Zip Code
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Phone Number
Year applying for:
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2025-2026 (current school year)
2026-2027 (next school year)
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Father
Father Title (please select one)
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Mr.
Dr.
Rabbi
Father First Name
*
Father Last Name
*
Home Address (if different from above)
Father Cell Phone
*
Father Email
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Mother
Mother Title (please select one)
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Mrs.
Ms.
Dr.
Mother First Name
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Mother Last Name
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Home Address (if different than above)
Home Telephone (if different than above)
Mother Cell Phone
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Mother Email
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Family Information
Marital Status
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Married
Divorced
Separated
Widow(ed)
Child/ren live(s) with
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Both Parents
Mother
Father
Other
Name of Shul and Rabbi
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Inquiry
Tell us about your child:
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Why do you think Tashbar would be a good school for your son?
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Please list previous schools attended:
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