Hebrew School Registration

We are thrilled you have decided to entrust us with your child’s Jewish education. We look forward to a fantastic year!

Sundays, 9:30 am - 11:30 am
$770 Registration fee + $100 material fee = $870

Ready to dive into CTeen or start your Bar/Bat Mitzvah journey? Tap below to join the fun!

Note: Students entering Grades 6-7 will participate in the Bar/Bat Mitzvah program.

STUDENT INFORMATION

How many children are you registering?*

up to 3

Your Name* Parent Submitting

First Name Last Name

Child 1 Full Name*

First Name Last Name

Hebrew name*

Date of Birth*

Month Day Year

Gender*

BoyGirl

School*

Grade entering*

Previous Jewish Education*

YesNo

Where?*

Child 2 Full Name*

First Name Last Name

Hebrew Name*

Date of Birth*

Month Day Year

Gender*

BoyGirl

School*

Grade entering*

Previous Jewish Education*

YesNo

Where?*

Child 3 Full Name*

First Name Last Name

Hebrew Name*

Date of Birth*

Month Day Year

Gender

BoyGirl

School*

Grade Entering*

Previous Jewish Education*

YesNo

Where?*

Please describe your family's Jewish background/education (if applicable).

Is the biological mother of the Child(ren) Jewish?*

YesNo

Did the child(ren), their biological mother, or biological grandmother undergo any conversion process or adoption?*

YesNo

Please provide details* Indicate names if submitting for multiple children

Do/Does your child(ren) have any allergies or special medical considerations?*

YesNo

Please describe them and indicate special precautions or care needed.* Indicate names if submitting for multiple children

Do/Does your child(ren) have an IEP or receive any behavioral or educational support in school? (Sharing this information with us enables us to create a Hebrew School environment in which your child(ren) can thrive)*

YesNo

Please explain* Indicate names if submitting for multiple children

PARENTS' INFORMATION

Father's Name*

First Name Last Name

Father's Hebrew Name*

Father's Cell*

Area Code Phone Number

Father's E-mail*

Occupation*

Mother's Name*

First Name Last Name

Mother's Hebrew Name

Mother's Cell*

Area Code Phone Number

Mother's E-mail*

Mother's Occupation*

I would love to be a part of my child’s Jewish education. Please feel free to contact me if there are any opportunities to get involved.

I would like to receive news and updates by email.

Home Phone*

Address* Please indicate your apartment/unit number if applicable.

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

Synagogue affiliated with (if any):

How did you hear about us?

EMERGENCY CONTACT

Persons to be contacted in case of an emergency when parents cannot be reached. Please provide two contacts.

Contact 1*

First Name Last Name

Phone Number*

Relationship to child*

Contact 2*

First Name Last Name

Phone Number*

Relationship to child*

TUITION AGREEMENT

*To enroll your child(ren) in Chabad Hebrew School, all forms must be completed and sent in to the school. Your application will not be processed without the required forms and fees.

*Full payment, or a payment plan must be set up by the beginning of the school year.

Payment plans:

2 Installments | 1st payment - upon submission, 2nd payment - charged on 1 November 2024
4 Installments | 1st payment - upon submission, 2nd payment - charged on 1 November, 2024, 3rd payment - January 15, 2025, 4th payment - March 18, 2025

*Enrollment is considered to be for the entire scholastic year. There will be no refunds even if the child is absent due to illness, holidays, vacations and force majeure closure days, or should the parents decide to withdraw the child from the program.

*In the event that tuition is not paid, Chabad Hebrew School reserves the right to debit your Credit/Debit card, plus a $25 processing fee.

Please check*

I understand and agree.

RELEASE OF INFORMATION AND PHOTOGRAPHS

Parents allow for child(ren)'s picture to be used for internal PR mailing and website and social media accounts where name is not given. Parents allow for child(ren)'s photograph/name released to newspapers where last name will not be given. If not, please contact us.

Please check

I understand and agree.

PAYMENT

Registration Fee - $770
Material Fee - $100

I would like to pay*

Sponsorship opportunities

I would like to sponsor a child - $1,250

Payment method*

Credit CardOther

*

Credit Card

We accept Visa, MasterCard, American Express, Discover
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

Please check*

I authorize Chabad Hebrew School to charge my credit card submitted above for the scheduled charges.

Please send payment to:

Zelle: [email protected]
Venmo: @MidtownChabad

Total

$5220.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

As the parent(s) or legal guardian of the above child(ren), I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my child(ren), I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child(ren) to participate in all school activities, join in class and school trips on and beyond school properties and allow my child(ren) to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

Please check*

I accept.

Mother's signature*

First Name Last Name

Today's date*

Month Day Year

Father's signature*

First Name Last Name

Today's date*

Month Day Year

Register

Hebrew School Registration

STUDENT INFORMATION

Second Child

Third Child

PARENTS' INFORMATION

EMERGENCY CONTACT

TUITION AGREEMENT

RELEASE OF INFORMATION AND PHOTOGRAPHS

PAYMENT