Register for Haftarah Class 2017

Parent/Guardian Information

First Parent/Guardian Information

Second Parent/Guardian


There is a one-time $400 class fee. I understand that by submitting this form, I am agreeing to enroll my child in the Adath Jeshurun Haftarah Training Program and committing to paying the class fee, which in addition to classroom training, includes 26 individualized haftarah tutoring sessions, 15 minutes each. This $400 fee can be paid with a credit card through PayPal. If you have any concerns related to the payment, contact Bernie Goldblatt at the Adath office, 952.545.2424. This form is due by August 17, 2017.

Emergency Contact

Emergency contact (other than parents) in case of illness. This person must be able to come and pick up your child.