Parent Information
Father's Contact Information

Title*
First Name*
Last Name*

Cell Phone Number*
Email Address*

Mother's Contact Information

Title*
First Name*
Last Name*

Maiden Name

Cell Phone Number*
Email Address*

Additional Information

Marital Status*
Street Address*

City*
State*
Zip*

Home Phone Number
Shul Affiliation*

Family Rav*
Rav's Phone Number*

Student Information
Hebrew Name (First & Middle)*
Last Name*

Preferred Name*
Birthday*

Age*
Gender*

Is your son fully vaccinated?*

Please note that the school maintains strict vaccination requirements. Kindly explain how you plan to comply with this policy.*

What school year are you interested in?*
Grade Applying For*

Current School or Playgroup*
Current Grade*

Principal/Director*
Principal's Phone Number*

May Rabbi Shepard contact your son's current principal?*

If you have not consented to Rabbi Shepard contacting your son's current principal, please share your reason below.*

Additional Information
Please list any siblings not indicated above, including their ages and current schools.*

Are you a current YTS parent of staff member?*

Did any child(ren) listed above previously attend YTS?*

How did you hear about us?*

Thank You
After submitting this form, you will receive a confirmation email acknowledging receipt of your inquiry. We look forward to connecting with you and, b'ezras Hashem, will be in touch shortly to schedule a tour.