Register Online - New Students

HEBREW SCHOOL REGISTRATION FOR NEW STUDENTS
Please note: Application forms are to be filled out only AFTER a Hebrew School tour and family meeting with Sara
Parent's Information
Mother's Name*
First Name Last Name
Hebrew Name
Mother's Birth Date

Month Day Year
Mother's Occupation

Address*

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

Mother's E-mail*
Mother's Cell*
Father's Name*
First Name Last Name
Hebrew Name
Father's Birth Date

Month Day Year
Father's Occupation

Address (if different)

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

Father's E-mail*
Father Cell*
Marital status:*

MarriedDivorcedSingleWidowed
Additional notable Information
Tuition
Updated tuition for 2027-2028

Grades K - 1 Member - $1,300 | Non Member - $1,600

Grades 2 - 4 Member - $1,800 | Non Member - $2,100

Grades 5- 7 Member - $1,950 | Non Member - $2,250

$180 Per Family Security Fee
For Membership information or signup please click here.
Please Select:*

We are currently members or will be signing up for Membership for the 2027-2028 year.We are not yet members.
Child 1
Child's Name*
First Name Last Name
Hebrew Name*
Birth Date*

Month Day Year
Member: Grade entering - September*
Non-Member: Grade entering - September*
Child 2
Child's Name
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Member: Grade entering - September
Non-Member: Grade entering - September
Child 3
Child's Name
First Name Last Name
Hebrew Name
Birth Date

Month Day Year
Member: Grade entering - September
Non-Member: Grade entering - September
Additional Information
Any there any conversions or adoptions in the family, (please provide details)
Any considerations, such as learning disorder or difficulty, the teacher should be aware of? (Confidential)
Does your child have any allergies or other medical conditions we should be aware of? If yes, please describe them and indicate special precautions or care needed.
What are your child’s special interests, likes or dislikes?
How does your child learn best?
Emergency Contact
First Name Last Name
Cell Phone

Area Code Phone Number
We encourage YOUR family to become part of OUR family.
If you would like to learn about becoming a member at Chabad, please click here.
Payment
(Please note: Payments via credit card will be charged a 3% transaction fee)
Scholarship Application

My family requests a scholarship. Please contact Sara to discuss. I understand that my application will not be processed until a plan is in place.
Please click this link for Scholarship Form.
Security Fee - $180
Total

$0.00
Yes, I'd like to donate the cost of processing this transaction by adding 3%