Hebrew School Registration

Address*

School*
Grade Entering (2024/2025)
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:*

BirthChoice
Payment
Prices

Annual Tuition: $495

Early Dropoff (3:00-4:00pm): $120

Scholarships Available
Please choose relevant payments

$495$120
Total

$0.00

Payment

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Postal / Zip Code

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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