Welcome to the Zone application form.
Please note that the Zone Year 7 programme is now full and applications are closed. If you would like to be put onto our waiting list for a possible January start please email us at thezone@hgss.org.uk. 
Start
 
Applying for (please tick) *


 
Child Forename: *

 
Child Surname: *

 
Child's Hebrew name: *

 
Home address: *

 
Post Code: *

 
Mother's details:

 
Mother's Title, Name & Surname

 
Mother's address (if different to child's):

Please type 'NA' if this is not applicable. Please also include post code.
 
Email address:

 
Mobile number:

 
Father's details:

 
Father's Title, Name & Surname

 
Father's address (if different to child's):

Please type 'NA' if this is not applicable. Please also include post code.
 
Email address:

 
Mobile number:

 
Contact Details – Do you give us your permission to share your basic contact details (name and phone number) with the other Zone parents?

     
 
Are you a member/s of a Synagogue?

     
 
If yes, please state which Synagogue

 
Date of parents' marriage

 
Name of officiating Synagogue where marriage took place?

 
Child's primary school(s):

 
Child’s secondary school:

 
Cheder attended (if relevant):

 
Does your child have any significant needs (educational/developmental/social)? *

 
Does your child have any significant Medical requirements /allergies?

 
Photography Permission – We like to take photographs/ videos of the children during their learning experiences for use in displays and other publications. We may also want to use some of these photographs on our website and for other promotional purposes. We would be grateful therefore if you would tick to agree permission.

 
Is there another child who your son/daughter would like to be with?

 
I/We undertake to pay the fees for my/our child’s tuition at The Zone in accordance with the scale laid down.

Signature of Parent/Guardian *

     
 
I will be sending payment for (please tick) *


 
Payment options are as follows  
1) Electronic Transfer:  A/C name: United Synagogue 019, Sort Code: 515011, A/C: 09644547.  Subject - The Zone and pupils name  

2) Credit card: Call the HGSS office on 0208 455 8126 ext 202 and quote The Zone and pupil’s name.  

3) Cheque: Made payable to United Synagogue 019.

 
Please note - up until 7 July 2017 priority will be given to members of HGSS; Highgate and Kinloss. Following that places will be made available to members of other communities on a first come first service basis.

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