Register for Torat Halev

Fields marked with an * are required

Shalom! Please fill out the form below to register for Torat HaLev. If you would like a copy of your completed registration, please print this page before you click Submit. Thank you!

 

If you would like to become members, please contact the CHL office for more information: (510) 704-9687

Street, City, State, Zip

Street, City, State, Zip

(Should be someone other than the parent filling out this form.)

Street, City, State, Zip

(in secular school)

The (typically) 16 digits on the front of your credit card.
The 3 digit (back) or 4 digit (front) value on your card.
The name printed on the front of your credit card.
The month your credit card expires, typically on the front of the card.
The year your credit card expires, typically on the front of the card.
If there's anything else you would like us to know about your child or your family, please let us know in the comment box below. If you have any questions, please call the CHL office: (510) 704-9687