Hebrew School Registration

REGISTER BEFORE MAY 31 FOR AN EARLY-BIRD DISCOUNT

No synagogue membership required!

No child will be turned away due to lack of funds, please email [email protected] for discreet inquiries.
Student Information
No. of Students registering*

1 child2 children3 children
Child 1
Registration Type*

New studentReturning student
Name of child *
First Name Last Name
Hebrew Name* If unknown / none, write 'unknown' or 'none'
Date of Birth*

Month Day Year
School*
Grade entering*
Hebrew Reading Proficiency*

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where*
Please list any special needs that may require special awareness from our staff Special needs including physical, developmental, learning, emotional or behavioral
Child 2
If you wish to only register 1 child, scroll to top and change "No. of Students registering"
Registration Type*

New studentReturning student
Name (child 2)*
First Name Last Name
Hebrew Name (child 2)* If unknown / none, write 'unknown' or 'none'
Date of Birth (child 2)*

Month Day Year
School (child 2)*
Grade entering (child 2)*
Hebrew Reading Proficiency (child 2)*

NoneSomewhatWell
Previous Jewish Education (child 2)*

YesNo
Where?*
Please list any special needs that may require special awareness from our staff Special needs including physical, developmental, learning, emotional or behavioral
Child 3
If you wish to only register 1 or 2 children, scroll to top and change "No. of Students registering"
Registration Type*

New studentReturning student
Name (child 3)*
First Name Last Name
Hebrew Name (child 3)* If unknown / none, write 'unknown' or 'none'
Date of Birth (child 3)*

Month Day Year
School (child 3)*
Grade entering (child 3)*
Hebrew Reading Proficiency (child 3)*

NoneSomewhatWell
Previous Jewish Education (child 3)*

YesNo
Where*
Please list any special needs that may require special awareness from our staff Special needs including physical, developmental, learning, emotional or behavioral

Home address*

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

Does your child/ren have allergies?* Food or medication

YesNo
Please describe allergies* Specify which child/ren
Does your child/ren take medication regularly?*

YesNo
Please outline medication* Specify which child/ren
Parents Information
Father's Name*
First Name Last Name
Father's Cell
Father's E-mail
Mother's Name*
First Name Last Name
Mother's Cell*
Mother's E-mail*
Mother's Hebrew Name
Mother born Jewish?*

YesNo
If there's conversions or adoptions in the family, please provide details. (e.g., the child, parents, grandparents)
Best way to send Hebrew School updates:*

Cell PhoneEmailHandout
Additional Notable Information
Volunteer

I am willing to assist in school activities, please contact me
Emergency Information
Emergency Contact *
Phone Number*
Payment
The fees will include a $950 Tuition Fee, a $50 Registration Fee
For a total of $1,000.
Additional Children will get a Sibling Discount of 10% off their $950 Tuition

No child will be turned away on a monetary basis. We firmly believe that every child deserves a Jewish education, regardless of financial situation.
Please email Rabbi Moshe Dubinsky directly at [email protected] to discuss scholarship options. We want to ensure that your child can attend Hebrew School. Your privacy is our top priority - any scholarships applied to an account will remain confidential.

Due now:
$50 per child ($150 per child for late registration after May 31)

(Early bird registration fee before May 31: $50. Regular registration fee: $150)
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. 1stI need a scholarship, please contact me.
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.
$50 due now

$50 - 1 Child
$100 due now

$100 - 2 Children
$150 due now

$150 - 3 Children
$50 due now

$50 - 1 Child
$100 due now

$100 - 2 Children
$150 due now

$150 - 3 Children
Date

Month Day Year
at Hour Minutes

Payment

Credit Card Paypal Check

Postal / Zip Code

Country

Your email address* We'll send registration confirmation to this email
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.
Promo Code
$50 Promo
$100 Promo
$150 Promo
Your card will be charged:

$1450.00
PLEASE NOTE: Your child is not registered until you receive confirmation via email or phone call
Digital Signature*
We look forward to a wonderful year of learning and growth!
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Educate Your Child... Educate a Generation

Student Information

Child 1

Child 2

Child 3

Parents Information

Emergency Information

Payment