Hebrew School Registration

Address*

School*
Grade Entering (2022/23)
Additional Information Please note any allergies or medical issues we should be aware of.
Parents Information
Father's Name*

First Name Last Name
Father's Cell*

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

First Name Last Name
Mother's Cell*

Area Code Phone Number
Mother's E-mail
Father's Hebrew Name
Mother's Hebrew Name
Mother is Jewish by:*

Birth Choice
Payment
Prices

Annual Tuition: $450

Early Dropoff (3:00-4:00pm): $120
Please choose relevant payments

$450 $120
Total

$0.00

Payment

Credit Card Paypal Other

Postal / Zip Code

Country

Please note: After reviewing this form we will contact you to confirm your child has been accepted to Chabad Hebrew School.
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Chabad Hebrew School