Pre-Registrations 5784 – Mesivta Lubavitch Toronto

Name of Bochur*

First Middle Last

Bochur Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bochur Home Phone*

Bochur Email (if he has one)

What Shiur is your Bochur entering?

What is the name of the School/Yeshiva you are currently learning in?*

Name of your current Melamed and their contact details*

Name of your current Menahel and their contact details*

Do you have an Aseh lecha Rav yet?*

Do you learn Chitas?*

Do you learn Rambam?*

Do you go to the Mikvah?*

What time do you go to sleep at night?*

Do you Have a device (np3 player etc )/phone. If yes, which model?*

Have you been away to camp?*

If yes. Which camp? please send contact info for the camp director and counselor/learning teacher.

Are you planning on coming with any friends? if yes, who?*

Please rate your Gemara reading skills -1 to 5+*

Please rate your Gemara comprehension skills -1 to 5+*

In which areas are you looking to grow in the Mesivta?*

Parents names*

Father name Mother name

Father Cellphone*

Mother Cellphone*

Father Email

Mother Email*

Please upload a copy of your last 2 report cards*

Drop files here or

Max. file size: 64 MB.

Pls upload a current picture of the Bochur*

Max. file size: 64 MB.

Comments from Parents?