University of Chicago Hillel
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Parent Information 2017-2018
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Parent 1
*
First Name
Last Name
Email
*
Verify Email
*
Phone Number
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Parent 2
First Name
Last Name
Email 2
Verify Email
Address (if different from Parent 1)
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Would you like to (choose all that apply):
Receive our Parents Newsletter (monthly)
Register to monthly conference calls with our Executive Director, Rabbi Anna Levin Rosen
Join our UChicago Hillel Parents Council
Help host and organize local parents events in your city
Meet our Hillel team when they are in your city
Other - please contact me
Any questions/comments? Please let us know and we will get back to you as soon as we can!
Tell us about your student:
Name of Student
*
First Name
Last Name
Student's Email
Verify Email
Student's Graduation Year
Student's Birthday (so we can wish them happy birthday!)
(mm/dd/yyyy)
Student's House
What else would you like to share about your student?
Thank you!