Yeshivas Kayitz Program sun The Hershey & Raisy Friedman Campus

Beis Medrash Registration Application

Talmid’s Information

A recent picture of the talmid is required to be submitted prior to acceptance.

Profile
Please upload a photo *
  • First Name
  • Last Name
  • Hebrew Name Ben Mother
  • Sweatshirt Size
  • Yarmulka Size
  • Date Of Birth
  • Hebrew Birthday *

Family Info

  • Marital Status
  • Home Address
  • City
  • State
  • Zip
  • Country
  • Parents Summer Location
  • Address is current

Father’s Information

  • Fathers Name
  • Fathers Occupation
  • Fathers Cell
  • Fathers Work Phone
  • Fathers Email

Mother’s Information

  • Mothers Name
  • Mothers Occupation
  • Mothers Cell
  • Mothers Work Phone
  • Mothers Email

Yeshiva Information

  • Yeshiva attended this year
  • Shiur
  • Maggid Shiur's Name
  • Maggid Shiur's Phone
  • Mashpia's Name
  • Mashpia's Phone
  • Camp attended last year
  • Previous camp phone number
  • Yeshiva attending next year

Payment Method

There is a non-refundable $400.00 application fee which upon acceptance will be applied to tuition.

  • Please make checks payable to Yeshivas Kayitz
    You can mail your check to:
    Yeshivas Kayitz Program
    667 Eastern Parkway
    Brooklyn, NY 11213
    If you would like to drop it off please contact us

My Cards

  • You have no cards connected to your account, please add a new card
+ Add Card

Agreements

I understand that if my son is sent home from Yeshivas Kayitz or leaves early no tuition will be refunded.

 
 

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Your account will enable you to:
Return to view and print your submitted applications and forms
Return to fill out additional forms
Continue a partially completed form or registration
Return to register again next season

  • Full Name
  • Phone Number
  • Email Address
  • Password
  • Confirm Password
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Enter the email address associated with your account, then click Recover Password.
We'll send you a link to a page where you can easily create a new password.

  • Email Address
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Add Card

  • Card Holder
  • Card Number
  • Month
  • Year
  • CVV
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Add Bank

  • Bank Holder
  • Bank Type
  • Routing Number
  • Account Number

Paying by Check?

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No Problem! We will put your Application on hold

Once your check is received, your application will be submited

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