MitzvAcademy Enrollment Form

*Please fill out a separate form for each student you are enrolling.

Student's First name

Student's Last name

Student's Grade in Fall '26

Hebrew School Experience

Select the MitzvAcademy Program(s) that apply:

Primary Hebrew School (Grades 2-6)

Moadon Program (Grades 7+)

B'Nai Mitzvah Program (Select if starting B’nai Mitzvah Prep in 2026)

Class Day Preference

Referred By (if applicable):

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone Number