Register - Returning student

Returning Student Information
Click here for new student registration
Child 1*
First Name Last Name
Grade entering*
Hebrew Reading Proficiency*

NoneSomewhatWell
Child 2 (if applicable)
First Name Last Name
Child 2 - Grade entering
Hebrew Reading Proficiency Child 2 (if applicable)

NoneSomewhatWell
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Parent 1*

Area Code Phone Number
Parent 2

Area Code Phone Number
E-mail*
I am willing to assist in school activities, please contact me
Emergency Information
Emergency Contact
Phone Number

Area Code Phone Number
Payment
Registration fees: A $25 book fee, $50 Security Guard fee & $50 Registration fee ($100 with late registration) per child is due upon registration.
$50 Registration & $25 Book Fee & $50 Security Guard Fee*

$125 - 1 Child$250 - 2 Children
$100 Registration & $25 Book Fee & $50 Security Guard Fee*

$175 - 1 Child$350 - 2 Children
Date

Month Day Year
at Hour Minutes
Tuition Payment plan:* Tuition for the year is $950 per child. Tuition PAID IN FULL before Hebrew School begins will receive a 5% discount.

Plan A - Pay in full before HS startsPlan B - 50% before HS starts and 50% Jan. 1stPlan C - Ten month payment plan - $95/student/month beginning Sep. 1st
Tuition agreement*

I have reviewed the tuition rates listed above and agree to pay the amount for my child/ren to attend Chabad Hebrew School.
Total due now with registration:

$0.00

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Terms of Enrollment*

As the parent(s) or legal guardian of the above child(ren), I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.
We look forward to a wonderful year of learning and growth!
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Educate Your Child... Educate a Generation

Returning Student Information

Parents Information

Emergency Information

Payment