Student Information
Family Information
Grandparent Information
Synagogue and Jewish Observance
Current School Information
Emergency Contact Information
Student Academic Profile
Student Activities and Personal Essays
Media Consent Form
Trip Consent Form
Medical intervention Consent
eSignature
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Welcome to Tampa Bay Torah High School
Please complete this application form for the 26-27 school year.
Please review and update any information as needed.
Student Information
Grade Entering
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9th Grade
10th Grade
11th Grade
12th Grade
Student's Legal First Name (Child)
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Student's Legal Last Name (Child)
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Student's Complete Hebrew Name (Child)
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Student's Preferred Name (Child)
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Gender
*
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M
F
Is the Student Jewish?
*
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Yes, both parents are Jewish
Yes, the mother is Jewish
No, the father is Jewish
No, both parents are not Jewish
If yes, are there any Jewish conversions in the family?
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No
Yes, father is converted
Yes, mother is converted
Paternal Grandparent(s)
Maternal Grandparent(s)
Conversion Rabbi contact information
Date of conversion
Date of Birth (mm/dd/year)
*
CHILD resides with:
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Both Parents
Father
Mother
Step-Father
Step-Mother
Grandparent
Guardian
Other
Please list any allergies
Student Cell Phone
*
Student Email Address
*
Student Photo
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