Admissions Inquiry & Tour Request Form
Admissions Inquiry & Tour Request Form
Submit
General Information Form
Father/Guardian 1
First Name
*
Last Name
*
Email Address
*
Cell Phone
*
Mother/Guardian 2
First Name
*
Last Name
*
Maiden Name
*
Email Address
*
Cell Phone
*
Home Address
Street Address
*
City
*
State
*
Zip
*
How Did You Hear About Us?
Student Information
First Name
*
Last Name
*
Gender
*
Select...
Male
Female
Date of Birth
*
Grade Level of Interest
*
Select...
Orot/2s
Ganon/3s
Gan/Pre-K
Mekhina/K
1st
2nd
3rd
4th
5th
6th
7th
8th
Grade Placement
Orot - child born by 10/31/2023
Ganon - child born by 10/31/2022
Gan - child born by 10/31/2021
Mekhinah - child born by 10/31/2020
School Year
*
Current School/Program
*
Add another child
Remove
Sibling Information
First Name
Last Name
Gender
*
Select...
Male
Female
Date of Birth
Current Grade
Current School/Program
Add another sibling
Remove
Personal Tour Request
I would like to be contacted to schedule a tour of Barkai
Select...
Personal Tours (1-2 couples)
Small Group Tours (3-4 couples)
Not interested in taking a tour
You're done!
Once you submit and send your form, you won't be able to make any changes here.