Returning students -  click here

We are currently accepting application forms for the 2018-2019 school year. This is a Jewish Sunday School, and we only accept children, who's mother is Jewish or in the process of conversion.

Please fill out ALL fields of this form. If you have any questions or concerns you'd like to discuss with us, please contact us.

Please note that one registration form per child is needed.

We look forward to a wonderful year of learning and growth. First day of school is September 10th

Tuition: $800 per child before Sept. 30th, $850 after
Tuition includes book and supply fee and snacks.

Student Profile
CHILD
Last Name
First Name
Hebrew Name
Gender
Male Female
Date of Birth
School
Grade
Previous Jewish education?
Yes No
If Yes please describe
Hebrew Reading Proficiency: None Somewhat Well
Have there been any conversions or adoptions in the family? Yes No
If yes please explain
Parent Information

Father

Title/First Name
Last Name
Work Phone
Cell Phone
Occupation
Email
Mother
Title/First Name
Last Name
Work Phone
Cell Phone
Occupation
Email
Is Mother Jewish?
Parents
Address
City/State/ Zip
Home Phone
Emergency Information
Emergency 1
Name
Phone #
Relation
Emergency 2
Name
Phone #
Relation
Family Physician    
Doctor's Name
Doctor's Address
Doctor's Phone #
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

Tuition Fees

$800 annual tuition, which includes books, snacks, and craft supply fee

I would like to pay a one time installment of $800 *
I would like to pay in 10 installments of $80 *

*Please note: first time your card will be charged on October 1st 

Payment Information
Card Number
Name on Card
Expiration Date
Security Code
What's This?
Billing Address
Billing Zip
Disclaimer

As the parent(s) or legal guardian of the above child, 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.

 

I Accept
Name: Initials:
We look forward to a wonderful year of learning and growth!