To register your child for Hadracha, fill out the form below.

We are looking forward to welcoming your child, and your family, to our Nafshenu community. Before the start of classes in the fall, all families will meet with our team to discuss your child and his/her educational needs. If you have any questions regarding our program, please feel free to email Shera Goldstein, Nafshenu's educational lead, at Shera@nafshenu.org. 

Student Name *
Student Name
Birthdate
Birthdate
Parent #1 Name
Parent #1 Name
Parent #2 Name
Parent #2 Name
Address
Address
Parent #1 Phone
Parent #1 Phone
Parent #2 Phone
Parent #2 Phone
Emergency Contact Name
Emergency Contact Name
Emergency Contact Phone
Emergency Contact Phone