Registration
Please fill out this form as an initial registration for the Chabad Hebrew School.
Confirmation of acceptance will be acknowledged only after this registration form is reviewed and an acceptance letter is received.
Child 1:
First Name:
Last Name:
Hebrew Name:
Date of Birth:
School:
Grade Entering as of 09/14:
Hebrew Reading Proficiency: None Somewhat Well
Previous Jewish Education: Yes No
Where?
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Child 2:
First Name:
Last Name:
Hebrew Name:
Date of Birth:
School:
Grade Entering as of 09/14:
Hebrew Reading Proficiency: None Somewhat Well
Previous Jewish Education: Yes No
Where?
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Child 3:
First Name:
Last Name:
Hebrew Name:
Date of Birth:
School:
Grade Entering as of 09/14:
Hebrew Reading Proficiency: None Somewhat Well
Previous Jewish Education: Yes No
Where?
CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.
Father's Information:
Name:
Home Phone:
Work Phone:
Cell Phone:
Address:
City, ST, Zip:
Email Address:
Mother's Information:
Name:
Home Phone:
Work Phone:
Cell Phone:
Address:
City, ST, Zip:
Email Address:
Are the natural father and mother of the child Jewish? Yes No By Choice
If no or by choice, please explain:
Emergency contact cannot be parents:
Name:
Relationship to child:
Phone Number:
As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of the 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, the 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 the Chabad Hebrew School activities and that these pictures may be used for marketing purposes.
I accept
Name
We look forward to a wonderful year of learning and growth!
Your application is not complete without a payment plan.
Chabad Hebrew School Tuition Agreement
The following is a tuition agreement for the Chabad Hebrew School. The agreement explains the tuition fees, payments plans and refund policies. Please read it through carefully. A signed tuition agreement along with a full payment plan must be submitted to the school office before any child will be permitted to attend.
The tuition for each of the programs are as follows (this includes books and supplies).
-
Chabad Hebrew School: $450
There is an additional registration fee of $75 per child.
You may choose from the following payment methods:
Plan A: You may pay the entire amount in full with a check, cash or credit card.
Plan B: You may pay the annual tuition by submitting 3 post dated checks in the following manner:
|
Registration
|
$75.00
|
|
September 1 |
$250.00
|
|
December 3 |
$100.00
|
|
March 4 |
$100.00
|
All checks must be submitted before the first day of Hebrew School.
PLAN C: You may use your credit card to pay the tuition in the above manner. Your credit card will be billed September, December and March. To do so please include your credit card number and expiration date at the bottom of this page.
Wishing all our students and families a happy, healthy and sweet new year! Shanah tovah!