My child is in* BURR INTERMEDIATE SCHOOLSAWMILL INTERMEDIATE SCHOOL We do not have the dates confirmed yet for Sawmill. If you would like to be contacted when they are available please fill out the form below. Contact Info Full Name* First Name Last Name Phone Number* Area Code Phone Number E-mail* Dates September 8, 2026 October 13, 2026 November 10, 2026 December 8, 2026 January 12, 2027 February 9, 2027 March 16, 2027 April 13, 2027 May 11, 2027 June 8, 2027 Parent's Info Mother's Name* First Name Last Name Mother's Hebrew Name Mother's E-mail* Mother's Phone Number* Area Code Phone Number Father's Name First Name Last Name Father's Hebrew Name Father's E-mail Father's Phone Number Area Code Phone Number Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Child's Info How many child(ren)? Child's Name First Name Last Name Child's Hebrew Name Gender MaleFemale Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Age What grade are they entering in the fall? Any considerations such as learning difficulty's at school we should be aware of (Confidential) (2) Child's Name First Name Last Name (2) Child's Hebrew Name (2) Gender MaleFemale (2) Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year (2) Age (2) What grade are they entering in the fall? (2) Any considerations such as learning disorders or difficulty at school we should be aware of (Confidential) (3) Child's Name First Name Last Name (3) Child's Hebrew Name (3) Gender MaleFemale (3) Birth Date 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year (3) Age (3) What grade are they entering in the fall? (3) Any considerations such as learning difficulties at school we should be aware of (Confidential) Emergency Contact Full Name* First Name Last Name Phone Number* Area Code Phone Number Relationship to Child(ren)* ParentGuardianGrandparentAuntUncleSiblingFoster ParentLegal CustodianOther (Please Specify) Other - Relationship to Child(ren)* Schedule How often will your child attend the HCC Burr?* Select specific months ($10 per month)All 10 Months ($75) How often will your child attend the HCC Burr?* Select specific months ($10/month per child)All 10 Months ($75 per child) How often will your child attend the HCC Burr?* Select specific months ($10/month per child)All 10 Months ($75 per child) Which months will your child(ren) be attending?* September 8, 2026October 13, 2026November 10, 2026December 8, 2026January 12, 2027February 9, 2027March 16, 2027April 13, 2027May 11, 2027June 8, 2027 Which months will your child(ren) be attending?* September 8, 2026October 13, 2026November 10, 2026December 8, 2026January 12, 2027February 9, 2027March 16, 2027April 13, 2027May 11, 2027June 8, 2027 Which months will your child(ren) be attending?* September 8, 2026October 13, 2026November 10, 2026December 8, 2026January 12, 2027February 9, 2027March 16, 2027April 13, 2027May 11, 2027June 8, 2027 Total $0.00 Payment* Credit Card Paypal Check, Cash Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. 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