Register Online - New Students

Child's Name*

First Name Last Name

Hebrew Name*

Birth Date*

Month Day Year

Grade entering - September *

Child's Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

Grade entering - September

Child's Name

First Name Last Name

Hebrew Name

Birth Date

Month Day Year

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

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*

Area Code Phone Number

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*

Area Code Phone Number

Marital status:

MarriedDivorcedSingleWidowed

Additional notable Information

Updated for 2023-2024

All grades attend on Tuesdays 4:00-5:45 PM

K - 1 grade $999

2nd - 4th grade $1,500

5th - 7th grade $1,650

$180 Security Fee per family

Please check off one of the tuition options:

1 Installment of full tuition2 installments; one in April for 50% and another on September 1st for 50%My family requests a scholarship. Please contact Sara to discuss.

Please click this link for Scholarship Form.

*

Security Fee - $180

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.

Total

$180.00

I would like to pay today:Full amount50% minimum: $0.00 $

Payment

Credit Card Check

Postal / Zip Code

Country

Register Online - New Students

HEBREW SCHOOL REGISTRATION FOR 2023-2024 IS NOW CLOSED

HEBREW SCHOOL REGISTRATION FOR NEW STUDENTS

Child 1

Child 2

Child 3

Additional Information

Parent's Information

Tuition

Payment

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