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Chabad Hebrew School

Inspiring Jewish Pride and Identity in Jewish Children - the future of Judaism.

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Register

HEBREW SCHOOL REGISTRATION
Child's Name*

First Name Last Name
Hebrew Name
Gender*
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*

Address*

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

Home Phone Number*

Area Code Phone Number
Additional notable Information
Parents Information
Father's Name*

First Name Last Name
Father Cell*

Area Code Phone Number
E-mail*
Mother's Name*

First Name Last Name
Mother Cell*

Area Code Phone Number
E-mail*
Marital Status*
Is the natural mother of the child Jewish?*
If there have been adoptions or conversions in the family, please explain.
Emergency Information
Emergency 1*

First Name Last Name
Phone Number

Area Code Phone Number
Relation
Emergency 2

First Name Last Name
Phone Number

Area Code Phone Number
Relation
Payment
Tuition Fee is $655. Tuition fee can be charged either in one payment on September 1 or in three payment on the first of September, October, and November. For alternative payment plans kindly contact [email protected].
Payment*

Payment

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Total

$0.00
TUITION AGREEMENT
To enroll your child(ren) in Chabad Hebrew School, all forms must be completed and sent in. Your application will not be processed without the required forms and fees.

Enrollment is considered to be for the entire scholastic year. There will be no refunds even if the child is absent due to illness, holidays, vacations and snow days, or should the parents decide to withdraw the child from the program.

In the event that tuition is not paid, Chabad Hebrew School reserves the right to debit your Credit/Debit card, plus a $25 processing fee.

DISPOSITION
Parent acknowledges that Chabad Hebrew School serves children who are able to function successfully in a group setting. If, in the judgment of the school's Director, the child is not able to function in a group setting, the parent may be asked to withdraw the child. In the event that the parent is request to withdraw the child, the Director will work with the parent to identify possible alternative programs suitable for the child.

RELEASE OF INFORMATION AND PHOTOGRAPHS
Parents allow for child(ren)'s picture to be used for internal PR mailing and website where name is not given. Parents allow for child(ren)'s photograph/name released to newspapers where last name will not be given. If not, please contact us.
Print name here* I agree to the terms and conditions above
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