Open House Registration

Please join us at our BPY Open House on Monday, November 11, 2024 at 7:30pm.

Please complete the registration information below.

Required fields marked with an asterisk *

Email*

Answer Required

First name of prospective student*

Answer Required

Last name of prospective student

Answer Required

Student's date of birth*

Answer Required

Student's current school*

Answer Required

If you are looking to send more than one student, please provide information on additional students (name, date of birth, grade for 2025-2026)*

Answer Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Mother's Name*

Answer Required

Mother's Phone Number*

Number Required

Mother's Email Address*

Answer Required

Father's Name*

Answer Required

Father's Phone Number*

Number Required

Father's Email Address*

Answer Required

Synagogue Affiliation*

Answer Required

How did you hear about Ben Porat Yosef? (If BPY family, please include name)*

Answer Required

If you have any specific questions or concerns, please add them here.*

Answer Required

Please fix the highlighted areas below before submitting.