Information Request

Parent Name(Required)

First Last

Email(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Cell Phone

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Home

Cell

Child's Name(Required)

First Last

Date of Birth(Required)

Current Grade(Required)

Other Grade(Required)

Current School(Required)

Briefly describe the challenges your child is facing in his/her current school:

How did you hear about the Shefa School?

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40 East 29th Street, New York, NY 10016
212-873-1300 | info@shefaschool.org

40 East 29th Street, New York, NY 10016
212-873-1300 | info@shefaschool.org