Chabad Hebrew School 5783

Student Information

RETURNING STUDENT
NEW REGISTRATION

How many children will you be registering?

Child I Name*

Date of Birth*

Grade Entering*

Child II Name

Date of Birth

Grade Entering

Child III Name

Date of Birth

Grade Entering

What are some of your child(ren)'s interests?

Are there any allergies?*

Yes
No

If yes, please list allergies here:

What are some goals you have for your child(ren) attending CHS?

Family Information

Parent's Name*

First Last

Parent's Best Email*

Parent I Name*

First Last

Parent I Email*

Parent I Phone*

Parent I is:

Jewish
Jew by Choice
Not Jewish

Parent II Name*

First Last

Parent II Email*

Parent II Phone*

Parent II is:

Jewish
Jew by Choice
Not Jewish

Address*

Street Address City ZIP / Postal Code

Emergency Contact*

Emergency Contact Phone #*

Payment:

No child will be turned away for lack of funds.

Tuition

The tuition fee for Hebrew school will soon be increasing! Register by August 12th for this pricing.

Payment Options:

Credit Card/ Paypal
Check
I would like to make a payment plan/ request a scholarship

Name

This field is for validation purposes and should be left unchanged.

Student Information

Family Information

Payment:

Date

Time

Jewish Kids Create!

Baby & Tot Shabbat

King in the Field Summer BBQ

Chabad Hebrew School 5783

Chabad Hebrew School 5783

Student Information

Family Information

Payment:

Date

Time

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Jewish Kids Create!

Baby & Tot Shabbat

King in the Field Summer BBQ

Chabad Hebrew School 5783