Hebrew School Registration

Click Here for Returning Students Registration

Child 1*

First Name Last Name

Hebrew Name*

First Name Last Name

Birth Date*

Month Day Year

School*

Previous Jewish Education

Grade entering*

Hebrew Reading Proficiency*

None Somewhat Well

Child 2 (if applicable)

First Name Last Name

Hebrew Name Child 2 (if applicable)

First Name Last Name

Birth Date Child 2 (if applicable)

Month Day Year

School Child 2 (if applicable)

Previous Jewish Education Child 2 (if applicable)

Grade entering Child 2 (if applicable)

Hebrew Reading Proficiency Child 2 (if applicable)

None Somewhat Well

Address*

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

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

Father's Name*

First Name Last Name

Father's Cell*

Area Code Phone Number

Father's E-mail

Mother's Name*

First Name Last Name

Mother's Hebrew Name

Mother Jewish by:*

Birth Choice

Mother's Cell*

Area Code Phone Number

Mother's E-mail*

Best way to send Hebrew School updates:*

Cell Phone Email Handout

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

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

Yes No

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

Emergency Contact

Phone Number

Area Code Phone Number

Chabad Hebrew School Tuition for the complete year is $950 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 card Plan B - 50% paid before beginning of academic year and 50% due by Jan Plan 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