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Hebrew School Registration

Student Information
Child #1*
First NameLast Name
Hebrew Name*
First NameLast Name
Birth Date*
MonthDayYear
School*
Previous Jewish Education
Grade entering*
Child #2
First NameLast Name
Hebrew Name
First NameLast Name
Birth Date
MonthDayYear
School
Previous Jewish Education
Grade entering

Address*

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

Additional notable InformationPlease let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father's Name*
First NameLast Name
Father's Cell*
Area CodePhone Number
Mother's Name*
First NameLast Name
Mother's Hebrew Name
Mother Jewish by:*
BirthChoice
Mother's Cell*
Area CodePhone Number
Best way to send Hebrew School updates:*
Cell PhoneEmailHandout
I am willing to assist in school activities, please contact me
*
I hereby permit my child (ren) to participate in all school activities and join in school trips on and beyond school properties. In case of emergency, I hereby authorize the school to have my child taken care of by a physician in any way the situation may call for.
Tuition & Payment Options
Tuition $500 per Child, Book Fee $45 per Child
5% Family Discount for second child. 10% discount for Partners of Chabad.
Options*
I will send a check of the full paymentI will be paying the tuition in 2 installmentsI will be paying the tuition with head checks in ten installmentsI will pay by credit card in fullI will pay monthly $54.50 by credit card
Payment
$54.50$545$1090
Total
$0.00

Payment

Credit Card Other

Postal / Zip Code

Country

Should be Empty:

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Photo Gallery

Hebrew School Chanukah Fair

Updates

Your children deserve nothing but the best. Give them the gift of a Jewish education that will remain with them forever!

Upcoming events

Nov. 04, 2019

Women's Coffee Club

Nov. 21, 2019

Women's coffee club

Nov. 29, 2019

Dec. 05, 2019

Moully Art Show