Register Online - New Students

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

Updated tuition for 2025-2026

Grades K - 1 Member - $1100, Non Member - $1,350

Grades 2 - 4 Member - $1,600, Non Member - $1,800

Grades 5- 6 Member - $1,750, Non Member - $1,950

$180 Per Family Security Fee

For Membership information or signup please click here.

Please Select:*

We have signed up for Membership for the 2025-2026 year.We are not yet members.

Child's Name*

First Name Last Name

Hebrew Name*

Birth Date*

Month Day Year

Member: Grade entering - September*

Non-Member: Grade entering - September*

Child's Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

Member: Grade entering - September

Non-Member: Grade entering - September

Child's Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

Member: Grade entering - September

Non-Member: Grade entering - September

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.

Please check off one of the tuition options:*

2 installments; one due on June 1st for 50% and another due on August 31st for 50%1 Installment of full tuitionMy 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

$180.00

Payment

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Credit Card (Preferred) Check, Zelle, Venmo

Postal / Zip Code

Country

Register Online - New Students

Registration is FULL for 2025-2026.

HEBREW SCHOOL REGISTRATION FOR NEW STUDENTS

Parent's Information

Tuition

Child 1

Child 2

Child 3

Additional Information

Payment