old CCHF Elementary School Registration Form

Chofetz Chaim Heritage Foundation

Elementary School Program Registration Form
School Name*
Principal Name*
School Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
School Phone Number*
Email*
Business Office Contact - to send bills*

Name Position in School Email

Please choose the progam(s) you would like to register for:

Shipur B'Dibbur for Boys
Program
Which teachers will be using this program?
Registration Type
Additional binders
Binders cost $15 each
Student Membership
Ship Package Attention to:

Shipur B'Dibbur for Girls
Program
Which teachers will be using this program?
Registration Type
Additional binders
Binders cost $15 each
Student Membership
Ship Package Attention to:

Konei Olam
Program
Which teachers will be using this program?
Language
Registration Type
Additional binders
Binders cost $15 each
Student Membership
Ship Package Attention to:

Yesodei Haloshon
Program
Which teachers will be using this program?
Registration Type
Additional binders
Binders cost $15 each
Student Membership- Please CHOOSE ONE of the following options:
Ship Package Attention to:

Shomrei Haloshon
Program
Which teachers will be using this program?
Language
Registration Type
Additional binders
Binders cost $15 each
Student Membership- Please CHOOSE ONE of the following options:
Ship Package Attention to:

Moshlei Haloshon
Program
Which teachers will be using this program?
Language
Registration Type
Additional binders
Binders cost $15 each
Student Membership- Please CHOOSE ONE of the following options:
Ship Package Attention to:

Shalom Values - NEW! for 7/8th grade GIRLS
Program
Which teachers will be using this program?
Cost
Ship Package Attention to:

Comments:
Should be Empty: