Hebrew School Registration

HEBREW SCHOOL

Hebrew School - small class sizes.
Student Information
Child #1*
First Name Last Name
Hebrew Name*
First Name Last Name
Birth Date*

Month Day Year
School*
Previous Jewish Education
Grade entering*
How Will Your Child Be Attending*

In PersonVirtual via ZOOM (may not be available)
Child #2
First Name Last Name
Hebrew Name
First Name Last Name
Birth Date

Month Day Year
School
Previous Jewish Education
Grade entering

Address*

E-mail*
Additional notable Information Please let us know if there are any allergies or other important information we need to be aware of.
Parents Information
Father's Name*
First Name Last Name
Father's Cell*

Area Code Phone Number
Mother's Name*
First Name Last Name
Mother's Hebrew Name
Mother's Cell*

Area Code Phone 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 $600 per Child, Book Fee $75 per Child, Registration $45

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 $72 by credit card
Payment

$72$720$1404
Total

$72.00