Gan 5783/5784

Thank you for your interest in Bais Menachem’s Gan. I am confident that you will be pleased with the quality and dedication of our staff, curriculum, and our beautiful facility.

Gan hours are Monday–Thursday 9:00 am–3:00 pm and Friday 9:00 am-12:30 pm. We typically follow the LEC calendar. The start date is yet to be determined. Tuition for 5783/5784 is $7,900 plus $100 application fee. The application fee will be refunded if your child is not accepted.

Bais Menachem Gan welcomes children 2 1/2-3 1/2 years old (must be 30 - 42 months by September 1st).

To register your child, fill out the inquiry form below. Please note, the more information we have, the better prepared we will be for working with your child.

If you have any questions about enrollment, don't hesitate to contact us at 786-702-4391 or email [email protected].

I look forward to being in touch!

Rochel Karp
1. Child Information
Name*

First Name Last Name
Birth Date*

Month Day Year
Hebrew birthday*
Does your child have any allergies or medical conditions?*

YesNo
Has your child attended any previous programs?*

YesNo
If yes, where?
Tell us about your child: Mark 5 or more adjectives that best describe your child.

ArticulateFearfulHappyShyInfluentialAggresiveSocialConfidentWell likedFollowerResponsibleDistractableEasily discouragedEnergeticLeaderLoud
2. Parents information
Parent Name*

First Name Last Name
Cell Phone*

Area Code Phone Number
E-mail* Primary email
Parent 2 Name

First Name Last Name
Cell Phone

Area Code Phone Number
E-mail Primary email
Shul affiliation*
Family Rabbi*
Were there any conversions/adoptions in the family*
Additional notable information
How did you hear about our Gan?
$100 Registration Fee*

$100

Payment*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

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1. Child Information

2. Parents information