Contact Us/Schedule a Tour - Tamim - HalperinTorahTots.com

For more information and to schedule a tour, please complete this form and the office will contact you.

Your Name*

First Name Last Name

Address*

E-mail*

Phone Number*

Area Code Phone Number

1st Child's Name*

1st Child's Birthdate*

Month Day Year

1st Child - Programs Previously Attended* Write NONE if not applicable

1st Child - Does your child have an IEP?*

YesNo

1st Child - Is your child currently receiving any services?

2nd Child's Name

2nd Child's Birthdate

Month Day Year

2nd Child - Programs Previously Attended Write NONE if not appilcable

2nd Child - Does your child have an IEP?

YesNo

2nd Child - Is your child currently receiving any services?

Please list ages of sibling(s) (not listed above) and the school(s) they attend? Write N/A if there are no siblings.*

Is the child(ren)'s mother Jewish by birth?*

YesNo

Are there any conversions in the family?*

YesNo

Are there any adoptions in the family?*

YesNo

Are you currently living in the Boca area?*

YesNo

When do you expect to be relocating to the Boca area?*

How did you hear about Tamim?*

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