Hebrew School Registration

Click Here for Returning Students Registration

Child 1*

First NameLast Name

Hebrew Name*

First NameLast Name

Birth Date*

MonthDayYear

School*

Previous Jewish Education

Grade entering*

Hebrew Reading Proficiency*

NoneSomewhatWell

Child 2 (if applicable)

First NameLast Name

Hebrew NameChild 2 (if applicable)

First NameLast Name

Birth DateChild 2 (if applicable)

MonthDayYear

SchoolChild 2 (if applicable)

Previous Jewish EducationChild 2 (if applicable)

Grade enteringChild 2 (if applicable)

Hebrew Reading ProficiencyChild 2 (if applicable)

NoneSomewhatWell

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Additional notable InformationPlease let us know if there are any allergies or other important information we need to be aware of.

Father's Name*

First NameLast Name

Father's Cell*

Area CodePhone Number

Father's E-mail

Mother's Name*

First NameLast Name

Mother's Hebrew Name

Mother Jewish by:*

BirthChoice

Mother's Cell*

Area CodePhone Number

Mother's E-mail*

Best way to send Hebrew School updates:*

Cell PhoneEmailHandout

I am willing to assist in school activities, please contact me

Is the natural mother and maternal grandmother of the child Jewish?

YesNo

Have there been any conversions or adoptions in the family? If Yes, please explain.

Emergency Contact

Phone Number

Area CodePhone Number

Chabad Hebrew School Tuition for the complete year is $540 for Sundays.
Please note: There is an additional $50 Registration fee and $25 book fee per child.
DISCOUNTS: Tuition PAID IN FULL before Hebrew School begins will receive 5% off.

Registration Fee*

$50

Payment plan:*

Plan A - Payment in full before beginning of academic year - check, cash or credit cardPlan B - 50% paid before beginning of academic year and 50% due by JanPlan C - Please call me. I'd like to discuss tuition over the phone or in person

Total due now

$0.00

Payment

Credit Card Paypal Check

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!

Register

New Student Information

Parents Information

Emergency Information

Payment