IVRITLI IAC

Thank you for your interest in the Ivritli-IAC Hebrew Program.

This registration form is intended for participants registering from
the U.S. and Canada.

Please note: The Hebrew learning program is provided and managed by Ivritli.
IAC supports the initial registration process and collects the annual registration fee as part of the partnership.

Final enrollment, level assessment, placement, schedule confirmation, program payment, and ongoing service are handled directly by Ivritli.

Parent/Guardian Information

Parent/Guardian Name

First NameLast Name

Relationship to Student

Parent/Guardian Email

example@example.com

Parent/Guardian Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

IAC Region

Preferred Language for Communication

My Products

Registration Fee-Participant/Student

Please select the number of children you are registering for the program.

Registration fee: $72 per child.

$72.00 Quantity

Enter coupon

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Participant/Student Information

Participant/Student Name 1

First NameLast Name

Participant/Student Email 1

example@example.com

Participant/Student Date of birth 1

Date

Current Grade Participant/Student 1

Which Ivritli course are you interested in for your Participant/Student 1?

*Final placement and course assignment are subject to Ivritli team review and approval.

Participant/Student Name 2

First NameLast Name

Participant/Student Email 2

example@example.com

Participant/Student Date of birth 2

Date

Current Grade Participant/Student 2

Which Ivritli course are you interested in for your Participant/Student 2?

*Final placement and course assignment are subject to Ivritli team review and approval.

Participant/Student Name 3

First NameLast Name

Participant/Student Email 3

example@example.com

Participant/Student Date of birth 3

Date

Current Grade Participant/Student 3

Which Ivritli course are you interested in for your Participant/Student 3?

*Final placement and course assignment are subject to Ivritli team review and approval.

Participant/Student Name 4

First NameLast Name

Participant/Student Email 4

example@example.com

Participant/Student Date of birth 4

Date

Current Grade Participant/Student 4

Which Ivritli course are you interested in for your Participant/Student 4?

*Final placement and course assignment are subject to Ivritli team review and approval.

Ivritli Program Terms

Important: The educational program is operated and administered by Ivritli. IAC serves solely as a community partner and registration facilitator. Any questions, requests, schedule changes, cancellations, refunds, class placement matters, tuition payments, curriculum-related questions, or other program-related inquiries should be directed to Ivritli and will be handled in accordance with Ivritli's policies and procedures.

Class Duration:

Ages 3–4: 40 minutes per lesson

Ages 6 and older: 50 minutes per lesson

Enrollment is for a full academic year consisting of 34 lessons, running from September through June.
Class formation is subject to a minimum enrollment of 8 students.
If a requested class does not open, Ivritli will offer an alternative placement. If no suitable alternative is available, payment will be handled in accordance with Ivritli's policies.
Placement in Hebrew-speaking classes for students age 7 and older
is subject to a placement assessment that will be provided after registration.
Students who require a different proficiency-level placement may be offered an alternative class by Ivritli.
All lessons are recorded and stored on Ivritli's cloud platform for up to one week.
The first lesson is intended to confirm the participant’s level. If needed, the participant will be placed in the appropriate level.

I authorize IAC to share my registration information with Ivritli to complete enrollment and program coordination.

Number

Campaign Name

My Products*

My Products