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               GAN ELOHIM PRESCHOOL - ENROLLMENT APPLICATION (2025-2026)

Please submit one form per child attending. We ask you complete this form with a computer.

Please take some time to carefully fill out the Gan Elohim Application form for the 2024-2025 school year. Gan Elohim offers a school year or full year program with full day opportunities for children 15 months to 5 years old. At Gan Elohim, our mission is to provide a nurturing and supportive environment in which young children have an active role in exploring, discovering, and learning the skills that foster their social, emotional, physical, and cognitive development. As a Temple School, teaching about Judaism and fostering the development of a positive Jewish identity is core to our program.

Please complete this form and submit a $500 deposit per child.

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CHILD INFORMATION
















MEDICAL & ALLERGY INFORMATION




PARENT/GUARDIAN #1 INFORMATION:



















PARENT/GUARDIAN #2 INFORMATION 
















ELECTRONIC SIGNATURE


By typing my name below and clicking "submit", I hereby constitute this as my electronic signature for legal purposes.  All of the information above is correct to the best of my knowledge.



BILLING INFORMATION 



















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