Please fill out ALL fields of this form. If you have any questions or concerns you would like to discuss with us, please feel free to contact us.

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

RETURNING STUDENTS
CLICK HERE

 New students scroll below.

Select Your Registration Option:
 
 In person Hebrew school on Sundays 10:00AM-12:00PM - following CDC guidelines
 In person Hebrew School on Mondays 4:30PM-6:00PM - following CDC guidelines
 The At home Out Of The Box Hebrew School-virtual with live teachers. Sunday, 10:00AM-11:00AM 
The 'Pod Classes' Hebrew School-classes in small groups at private homes. You provide the kids, we do the rest
   
Student Profile
   
Last Name
First Name
Hebrew Name (if unknown / none, write 'unknown' or 'none')
Age
DOB
Time of Birth AMPM
School
Grade Entering
Hebrew Reading Proficiency None Somewhat Well
Previous Jewish Education Yes No
Where?   

 

Parent Information
 
Address
City/Zip
Phone
Father's Name
Father's Occupation
Father's Cell
Father's Email
Mother's Name
Mother's Occupation
Mother born Jewish? Converted by whom? 
Mother's Cell
Mother's Email

 

Emergency Information
 
Emergency Contact 1
Phone
Emergency Contact 2
Phone
Doctor's Name
Doctor's Phone Number
Medical Insurance Company

CONFIDENTIAL: Does your child have any allergies or other medical condition we should be aware of? If yes, please describe them and indicate special precautions or care needed.

Tuition Information
 
PAYMENT OPTIONS | $675 + $25 BOOK FEE ( REGISTER FOR FAMILY MEMBERSHIP & RECEIVE 50% OFF)
  Family Membership ($770+ 50% off each child's tuition+ membership perks) 
 $675 + $25 Book Fee 

 Kindergarten Program, Free of Charge

*There are different membership options and many perks that come along with membership. Call 516.764.7385    
 
 
 
Payment Information
 
PLEASE CHOOSE ONE OF THE FOLLOWING PAYMENT OPTIONS:
 One Full Tuition Payment
 
PAYMENT METHOD
 Please Charge My Card Below 
 Check (postdated checks if paying in 10 equal payments)
     
Name on Card
Billing Address
Billing Zip
Credit Card Type
Credit Card Number
Exp Date
CVV
Amount to Charge

 

As the parent(s) or legal guardian of the above child, I/we authorize any adult acting on behalf of Chabad Hebrew School to hospitalize or secure treatment for my child, I further agree to pay all charges for that care and/or treatment. It is understood that if time and circumstances reasonably permit, Chabad Hebrew School personnel will try, but are not required, to communicate with me prior to such treatment. I hereby give permission for my child to participate in all school activities, join in class and school trips on and beyond school properties and allow my child to be photographed while participating in Chabad Hebrew School activities and that these pictures may be used for marketing purposes.

I Accept

Name: Initials: Date:

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