Registration

REGISTRATION IS CURRENTLY OPEN FOR THE
2023/24 SCHOOL YEAR.

To fill out the registration forms online, continue below.

Annual tuition (includes supplies/book fees): $750

Please note: Your child is not registered in the Chabad Hebrew School until you receive a confirmation phone call or email.

Please fill out a separate form below for each child.

RE-REGISTRATION:
If your child is already a student in the Chabad Hebrew School you DO NOT need to complete an entirely new application and emergency form.

CLICK HERE and complete the re-registration form (please complete a new form for each child).
Parents Information
Father's Name

First Name Last Name
Father Cell

Area Code Phone Number
Father's E-mail
Mother's Name

First Name Last Name
Mother Cell

Area Code Phone Number
Mother's E-mail
Mother born Jewish?

YesNo
HEBREW SCHOOL REGISTRATION
Number of children being registered:*
Child's Name*

First Name Last Name
Hebrew Name (if known)
Birth Date*

Month Day Year
I would like to pay *

I will pay $750I will pay in 10 installments of $75
2. Child's Name*

First Name Last Name
2. Hebrew Name (if known)
2. Birth Date*

Month Day Year
2. I would like to pay*

I will pay $750I will pay in 10 installments of $75
3. Child's Name*

First Name Last Name
3. Hebrew Name (if known)
3. Birth Date*

Month Day Year
3. I would like to pay*

I will pay $750I will pay in 10 installments of $75
Additional notable Information
Emergency Information
Emergency Contact
Phone
Doctor's Name
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.
Payment
Optional: Refer a friend and save 10% per family! (Friend must be new to CHS and will be registering their child for CHS this coming year)
Name of family referred:
Total

$0.00

Payment*

Credit Card Paypal Check

Comments/Questions?
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Parents Information

HEBREW SCHOOL REGISTRATION

Emergency Information

Payment