Registration

Returning students please click here to register.
Parent and Family Info
Adult 1: Name*
First Name Last Name
Adult 1: Phone Number*

Area Code Phone Number
Adult 1: E-mail*

Address*

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

Adult 2: Name
First Name Last Name
Adult 2: Phone Number

Area Code Phone Number
Adult 2: E-mail

Adult 2: Address, if different from above

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

Emergency Contact Name*
First Name Last Name
Emergency Contact Cell Phone Number*

Area Code Phone Number
Emergency Contact Second Phone Number

Area Code Phone Number
Physicians Name*
First Name Last Name
Physicians Phone Number*

Area Code Phone Number
Is your child(ren)'s Father Jewish?*

YesNo
Is your child(ren)'s Mother Jewish?*

YesNo
Are there any conversions in the family?*

NoYes
Please explain:
Are there any adoptions in the family?*

NoYes
Please explain:
Student's Info - Child 1
Child 1: Name*
First Name Last Name
Child 1: Hebrew Name*
Chid 1: Birth Date*

Year Month Day
Child 1: Time of Birth*
Hour Minutes
Child 1: Grade* (Entering into the 2024/2025 school year)
Child 1: Does your child attend any special education program in public school?*
If yes, please explain.
Child 1: Does your child have any special abilities or disabilities?*
If yes, please explain.
Child 1: Is your child on any special medication that the school should be aware of?*
If yes, please specify.
Child 1: If new to Chabad, Please tell us about your child's previous education.*
Previous School/Synagogue, City, Number of years, Days per week, Hebrew learning experience.
Child 1: Program Selection.*

"First Taste" Program (grades K, 1) - Sunday, 9:30am - 12:00pm - $950My child is a Blue Room graduate who is entering the Kindergarten Hebrew School Class - $475Hebrew School (grades 2 - 7) - Sunday, 9:30am - 12:00pm, Wednesday 4:30 - 6:00pm - $1300
Child 1: T-Shirt Size *
Add another child.
Student's Info - Child 2
Child 2: Name*
First Name Last Name
Child 2: Hebrew Name*
Chid 2: Birth Date

Month Day Year
Child 2: Time of Birth*
Hour Minutes
Child 2: Grade (Entering into the 2024/2025 school year)
Child 2: Does your child attend any special education program in public school?
If yes, please explain.
Child 2: Does your child have any special abilities or disabilities?
If yes, please explain.
Child 2: Is your child on any special medication that the school should be aware of?
If yes, please specify.
Child 2: If new to Chabad, Please tell us about your child's previous education.
Previous School/Synagogue, City, Number of years, Days per week, Hebrew learning experience.
Child 2: Program Selection.*

"First Taste" Program (grades K, 1) - Sunday, 9:30am - 12:00pm - $950My child is a Blue Room graduate who is entering the Kindergarten Hebrew School Class - $475Hebrew School (grades 2 - 7) - Sunday, 9:30am - 12:00pm, Wednesday 4:30 - 6:00pm - $1300
Child 2: T-Shirt Size*
Add another child.
Student's Info - Child 3
Child 3: Name*
First Name Last Name
Child 3: Hebrew Name*
Chid 3: Birth Date*

Month Day Year
Child 3: Time of Birth*
Hour Minutes
Child 3: Grade (Entering into the 2024/2025 school year)
Child 3: Does your child attend any special education program in public school?
If yes, please explain.
Child 3: Does your child have any special abilities or disabilities?
If yes, please explain.
Child 3: Is your child on any special medication that the school should be aware of?
If yes, please specify.
Child 3: If new to Chabad, Please tell us about your child's previous education.
Previous School/Synagogue, City, Number of years, Days per week, Hebrew learning experience.
Child 3: Program Selection.*

"First Taste" Program (grades K, 1) - Sunday, 9:30am - 12:00pm - $950My child is a Blue Room graduate who is entering the Kindergarten Hebrew School Class - $475Hebrew School (grades 2 - 7) - Sunday, 9:30am - 12:00pm, Wednesday 4:30 - 6:00pm - $1300
Child 3: T-Shirt Size*
Payment Info
Additional Fees:
$50 Registration Fee, per family
$200 Security Fee, per family
Security FeeRegistration Fee
I would like to pay:*

Full amount todayMonthly payments automatically deducted through April 1, 2025Other $ (Needs to be $250 minimum) and the balance will be paid monthly through April 1, 2025Please 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 this form. Our Financial advisory board will only consider scholarship requests if the scholarship form is filled out with all the information that is required. 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 Check (Only if agreed on before filling in this form)

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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Educate Your Child... Educate a Generation

Parent and Family Info

Student's Info - Child 1

Student's Info - Child 2

Student's Info - Child 3

Payment Info

Terms of agreement

We look forward to a wonderful year of learning and growth!