Household & Parent Information
 
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Household & Parent Information
Street Address*
City*
State*
Zip Code*
Home Phone*
County*

Father/Guardian #1

Title*
Legal First Name*
Preferred name
Legal Last Name*
Cell Phone*
Work Phone*
Email*

Occupation
What area of education are you in?
I work full time for a recognized Jewish non-profit.*

Employer name*

Are you an alumnus of TDSA?

Mother/Guardian #2

Title*
Legal First Name*
Preferred name
Legal Last Name*
Cell Phone*
Work Phone*
Email*

Occupation*

What area of education are you in?
Employer name*

Are you an alumnus of TDSA?

I work full time for a recognized Jewish non-profit.*

Marital Status*

Please enter additional address for parent/guardian #2 (street/city/state/zip), if applicable.
Name of step-parent/s, if applicable

Student Information
Grade Entering*

Student First Name*
Student Last Name*
Preferred name if different

Gender*
Date of Birth*
Hebrew Name*
Hebrew Date of Birth*
Does your child keep cholov yisrael?*
Please attach a recent photo of your child*
Please attach a copy of your child's birth certificate*

Georgia residents: Please attach an updated immunization form.
Moving to Georgia? Please share what state or country you are moving from:
Please attach an updated immunization form.*
If child was not born in the USA, please indicate birthplace and date of immigration

You can't fill out this page until you complete the Admissions Information page. Please go back and complete that first.