Registration

If you have any questions or concerns you would like to discuss with us, please feel free to contact us.

We look forward to providing your children with an outstanding Hebrew and Jewish education!
No. of Students registering*
Student Profile 1
Full Name*

First Name Last Name
Registration Type*

New StudentReturning Student
Please enter any changes from previous year
Hebrew Name
Birth Date*

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

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where was previous Jewish education?*
Student Profile 2
Full Name*

First Name Last Name
Registration Type*

New StudentReturning Student
Please enter any changes from previous year
Hebrew Name
Birth Date*

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

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where was previous Jewish education?*
Student Profile 3
Full Name*

First Name Last Name
Registration Type*

New StudentReturning Student
Please enter any changes from previous year
Hebrew Name
Birth Date*

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

NoneSomewhatWell
Previous Jewish Education*

YesNo
Where was previous Jewish education?*
Parents Info
Primary Email Address For Parent Communications*
Father's Name

First Name Last Name
Father's Cell

Area Code Phone Number
Mother's Name

First Name Last Name
Mother's Cell

Area Code Phone Number

Address*

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

Home Phone

Area Code Phone Number
Email*
Were there any conversions or adoptions in the family?*

YesNo
Please provide conversion details*
Medical & Emergency Info
Status*

Please use medical info on fileI would like to update my medical info
Emergency Contact 1

First Name Last Name
Phone Number

Area Code Phone Number
Emergency Contact 2

First Name Last Name
Phone Number

Area Code Phone Number
Confidential: Does your child have any allergies or other medical condition we should be aware of?*

YesNo
Please describe the condition and indicate special precautions or care needed*
MEDICAL AGREEMENT
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.
Agreement*

I accept
Enter Initials *
Payment Info
Tuition is $800 per child plus a $100 registration fee and $35 book fee. Registration fee is waived for registration completed before June 1.

*Synagogue membership is NOT required. Payment plan available. No child will be turned away for lack of funds.
Total

$0.00

I would like to pay today:Full amount$100.00 minimum$
Payment Method*

Please Charge My Card on FileEnter payment details below

Payment*

Credit Card Paypal Check or Payment Plan

Postal / Zip Code

Country

Should be Empty:

This page uses TLS encryption to keep your data secure.

Updates

2021/22

We are Gearing up for an amazing New year at Chabad Hebrew School. Please CLICK HERE to register;

Upcoming Events

There are no events posted at this time. Please contact us for more info about our events.

Educate Your Child... Educate a Generation

Student Profile 1

Student Profile 2

Student Profile 3

Parents Info

Medical & Emergency Info

Payment Info