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Education Chabad Hebrew School

Hebrew School Re-enrollment Registration 2022/2023

Please note this form is for RETURNING STUDENTS ONLY! If this is your first year applying to our Hebrew School please fill out the New Student Form.
Parent and Family Info
Adult #1 Name:*
First NameLast Name
Adult #2 Name:
First NameLast Name
Emergency Contact Name:*
First NameLast Name
Emergency Contact Cell Phone Number:*
Area CodePhone Number
Emergency Contact Second Phone Number:
Area CodePhone Number
Student's Info
Child's Name:*
First NameLast Name
Grade (Entering into the 2022/2023 school year)*
Program Selection:*
"First Taste" Program (grades K & 1) Sunday’s, 9:30am - 12:00pm - $950Hebrew School (grades 2-7) Sunday, 9:30am - 12:00pm & Wednesday 4:30pm - 6:00pm - $1300
Add another child
Child #2 Name:*
First NameLast Name
Grade (Entering into the 2022/2023 school year):
Program Selection:*
"First Taste" Program (grades K & 1) Sunday’s, 9:30am - 12:00pm - $950Hebrew School (grades 2-7) Sunday, 9:30am - 12:00pm & Wednesday 4:30pm - 6:00pm - $1300
Add another child
Child #3 Name:*
First NameLast Name
Grade (Entering into the 2022/2023 school year):
Program Selection:*
"First Taste" Program (grades K & 1) Sunday’s, 9:30am - 12:00pm - $950Hebrew School (grades 2-7) Sunday, 9:30am - 12:00pm & Wednesday 4:30pm - 6:00pm - $1300
Add another child
Child #4 Name:*
First NameLast Name
Grade (Entering into the 2022/2023 school year):
Program Selection:*
"First Taste" Program (grades K & 1) Sunday’s, 9:30am - 12:00pm - $950Hebrew School (grades 2-7) Sunday, 9:30am - 12:00pm & Wednesday 4:30pm - 6:00pm - $1300
Add another child
Payment Info
Additional Fees:
$50 Registration Fee, per family
$200 Security Fee, per family
Additional Fees:
$50 Registration Fee, per family$200 Security Fee, per family
I would like to pay:*
Full amount todayMonthly payments automatically deducted through April 1, 2023Other $ (Needs to be $250 minimum) and the balance will be paid monthly through April 1, 2023Please contact me in regard to a scholarship application. (Scholarships are available on a case-by-case basis.)
If you are applying for a scholarship request please fill out the attached form. Our Financial advisory board will only consider scholarship requests if the scholarship form is filled out with all the information that is required. Click here to fill out the scholarship request form. Once done please come back to this page to finish your registration.
I would like to kindly donate to the CHS Scholarship fund :
$
Total
$0.00

I would like to pay today: Full amount$250.00 minimum $

Payment

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Terms of agreement
*
I agree that in the event of an emergency, Chabad Hebrew School has permission to arrange for any necessary first-aid or care by a licenced physician /first-aid worker.Chabad Hebrew school has permission to use my child’s photo in its publicity materials.
Signature:
We look forward to a wonderful year of learning and growth!
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