Nisan Bais Medrash Nisan Zman Registration 2020 Welcome to the Heichal HaTorah Bais Medrash! We look forward to having you join us!Student InformationStudent's Name* First Middle Last Likes to be called Student's Birth Date Date Format: MM slash DD slash YYYY Student's Email* American Cell PhoneIsrael Cell PhoneWhatsApp NumberWhich Shiurim will you attend? Shiur and Chavrusah Yomi - Rav Reichman Shiur Klali Chassidus on Pesach - Rav Schwechter Hilchos Pesach - Rav Skulnick Haggadah Shiurim - Rav Kestenbaum choose all that applyName of Yeshiva Attended Last ZmanName of High School AttendedHome PhoneParent InformationFather's Name Mr.RabbiDr.Prof. Title First Last Father's Email Father's Cell PhoneMother's Name Mrs.MissMs.Dr.Prof. Title First Last Mother's Email Mother's Cell Phone
