Registration 2024-2025

Application date

Month Day Year
Students Details – Personal
Student's name
First Name Last Name
Date of Birth

Month Day Year
Age
Gender
Language(s) spoken
Nationality
Place of birth
Passport number
Id number
Students lives with

Both parentsMotherFatherGuardian

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Contact Number

Area Code Phone Number
Is the natural mother and maternal grandmother of the child, Jewish? *

YesNo
Are there any conversions or adoptions in your family?*

YesNo
If yes, please specify
Has the child attended another nursery or preschool?

YesNo
If yes, please specify
Student Academic Details
Has the child attend any school / day care before?

YesNo
If yes, please specify:
Emergency contact information
Other then Parents
Full Name
First Name Last Name
Relationship to student
Home Number

Area Code Phone Number
Mobile Number

Area Code Phone Number
Work Number

Area Code Phone Number
Family details
Father's Information
Full Name
First Name Last Name
Date of Birth

Month Day Year
Nationality
Passport number
Living with student

YesNo

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mobile Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
E-mail
I would like to receive news and updates from Chabad Lubavitch of Portugal by email. I understand that information I provide to Chabad Lubavitch of Portugal will be used according to its Privacy Policy and I can unsubscribe at any time.
Occupation
Employer
Language (spoken)
Proficiency in English
Mother's Information
Full Name
First Name Last Name
Date of Birth

Month Day Year
Nationality
Passport number
Passport number
Living with student

YesNo

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mobile Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
E-mail
Occupation
Employer
Language (spoken)
Proficiency in English
Guardian’s information
Complete this section if they are not the Parents
Full Name
First Name Last Name
Date of Birth

Month Day Year
Nationality
Passport No
Living with student

YesNo

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Mobile Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
E-mail
Do you have another children

YesNo
Siblings or other children:
Child 1
1. Full Name
First Name Last Name
1. Date of Birth

Month Day Year
1. Gender
1. Name of School attending
1. Grade
Do you have another children

YesNo
Child 2
2. Full Name
First Name Last Name
2. Date of Birth

Month Day Year
2. Gender
2. Name of School attending
2. Grade
Do you have another children

YesNo
Child 3
3. Full Name
First Name Last Name
3. Birth Date

Month Day Year
3. Gender
3. Name of School attending
3. Grade
Getting to know your Child
1. Health
Does your child have any medical condition, medication or allergies?

YesNo
If yes, please specify
In case of fever or pain, do you authorize a member of the school to administer paracetamol?

YesNo
if so, what dosage?
2. Food Behaviour
How many meals does the child eat a day?
Does he/she eat alone or need an adult help?

May need help from an adultCan eat alone.
Does he/she reject any type of food?

YesNo
Please indicate which they reject.
Tell us about his /her attitude during meals | Other observations:
3. Sleep
Does the child sleep alone?

YesNo
Does he/she have any bedtime rituals?

YesNo
Please explain
Does he/she have an object to sleep with?

YesNo
Please indicate which one.
Does he/she sleep during the day?

YesNo
If yes, for how long?
Does he/she fall asleep easily?

YesNo
4. Hygiene
Does he/she need help from an adult with personal hygiene?

YesNo
Is your child potty Trained?

YesNo
If not, when will they be?
5. Language
Does he/she speak?

YesNo
Since when?
Which languages does the child speak?
Does he/she understand what is being said to him/her?

YesNo
Any other observations?
6. Psychomotricity
When did the child start walking?
Does he/she walk confidently?

YesNo
Does he/she have any problems getting around?

YesNo
If yes, please specify.
7. Socialization
With whom is the child close to? parents, close family, etc
Does he/she show independence of adults?
How does he/she interact with other children?
Does he/she prefer to play alone or does he/she like to play with others?
8. Personality
What type of personality does the child have?
Describe your child’s interests, talents, abilities:
9. Education
Do you have any concerns regarding your child’s progress (academic, behavioral, physical)?
What expectations do you have of the education your child will receive in our school?
Permissions
1. Doctor's Hospital Affiliation
If neither myself nor another legal guardian of my child can be reached in the event of an emergency, and emergency medical action and/or advice is required, I authorize a member of Ganeinu staff to obtain necessary medical advice from my child's doctor

YesNo
Doctor's Name
First Name Last Name
Phone Number

Area Code Phone Number
To give permission to medical or hospital personnel to provide emergency medical or surgical care for my child if I cannot be immediately contacted. I will assume the cost of any necessary medical or surgical care.

YesNo
2. Activities
I authorize my child to use the institution's outdoor garden and the attached park every day?

YesNo
I give my child permission to participate in field trips planned for Ganeinu which are located off school grounds. I understand that such field trips may involve the transportation of my child through walking, driving or public transportation.

YesNo
3. Photography
I give permission for my child to be photographed or videos as part of his/her and other children's enrichment and enjoyment and to be used only within the Ganeinu Family circle?

YesNo
I give permission for my child to be photographed, videos and published on private social media outlets as part of his/her and other children's and family’s enrichment and enjoyment?

YesNo
I give permission to use their photos to promote Ganeinu without his/her name?

YesNo
4. Communication
I want to participate in a closed WhatsApp group with the school?

YesNo
*The guardian assumes full responsibility for the accuracy of the statements made, as well as the documents submitted
Documentation
Photos
Please send 2 photos of your child.
Photo 1
Photo 2
Other Documentation
Doctor' report
Copy of Passport/Visas/ID
Parent fiscal Doc
If you wish to send more then 1 document for fiscal, please email them here.
Vaccine Bulletin
Early Bird Special:

Please note your application will not be processed until your registration fee is sent.

Regular price: €250

Early Bird Price: €200
Please note your application will not be processed until your registration fee is sent.
Returning students: €200
Regular priceEarly bird (until: 31/03/2024)Returning student
Total

€200.00 EUR

Payment

Credit Card Bank Transfer

Postal / Zip Code

Country

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Students Details – Personal

Student Academic Details

Emergency contact information

Family details

Father's Information

Mother's Information

Guardian’s information

Siblings or other children:

Getting to know your Child

Permissions

Documentation

Early Bird Special: