Hebrew School Re-enrollment Registration 2024/2025

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
Full Name:*
First Name Last Name
Adult #2 Name:
First Name Last Name
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
Student's Info
Child's Name:*
First Name Last Name
Child's Hebrew Name:*
Date of Birth:*

Month Day Year
Time of Birth:*
Hour Minutes
Grade (Entering into the 2024/2025 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
Child #1 T-Shirt Size:*
Add another child
Child #2 Name:*
First Name Last Name
Child #2 Hebrew Name:*
Child #2 Date of Birth:*

Month Day Year
Child #2 Time of Birth:*
Hour Minutes
Grade (Entering into the 2024/2025 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
Child #2 T-Shirt Size:*
Add another child
Child #3 Name:*
First Name Last Name
Child #3 Hebrew Name:*
Child #3 Date of Birth:*

Month Day Year
Child #3 Time of Birth:*
Hour Minutes
Grade (Entering into the 2024/2025 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
Child #3 T-Shirt Size:*
Add another child
Child #4 Name:*
First Name Last Name
Child #4 Hebrew Name:*
Child #4 Date of Birth:*

Month Day Year
Child #4 Time of Birth:*
Hour Minutes
Grade (Entering into the 2024/2025 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
Child #4 T-Shirt Size:*
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, 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 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

$250.00

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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Parent and Family Info

Student's Info

Payment Info

Terms of agreement

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

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