Hebrew School Registration

In Person HEBREW SCHOOL

The In Person Hebrew School - small class sizes, taking Covid precautions.

Child #1*

First NameLast Name

Hebrew Name*

First NameLast Name

Birth Date*

MonthDayYear

School*

Previous Jewish Education

Grade entering*

How Will Your Child Be Attending*

In PersonVirtual via ZOOM (may not be available)

Child #2

First NameLast Name

Hebrew Name

First NameLast Name

Birth Date

MonthDayYear

School

Previous Jewish Education

Grade entering

How Will Your Child Be Attending*

In PersonVirtual via ZOOM

Address*

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

E-mail*

Additional notable InformationPlease let us know if there are any allergies or other important information we need to be aware of.

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.

Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19*

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Chabad Jewish Center of Martin / S. Lucie County Inc. has put in place preventative measures to reduce the spread of COVID-19; however, Chabad Jewish Center of Martin / S. Lucie County Inc. cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Chabad Jewish Center of Martin / S. Lucie County Inc. could increase your risk and your families risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the Chabad Jewish Center of Martin / S. Lucie County Inc. and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Chabad Jewish Center of Martin / S. Lucie County Inc. may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Chabad Jewish Center of Martin / S. Lucie County Inc. employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my attendance at the Chabad Jewish Center of Martin / S. Lucie County Inc. or participation in Chabad Jewish Center of Martin / S. Lucie County Inc. programming ("Claims"). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Chabad Jewish Center of Martin / S. Lucie County Inc., its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Chabad Jewish Center of Martin / S. Lucie County Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any of the Chabad Jewish Center of Martin / S. Lucie County Inc.'s programs.

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

I would like to receive news and updates by email

Hebrew School Registration

Student Information

Parents Information

Tuition & Payment Options