If you are a returning student, you can fill out the brief registration form below to apply for the 2022-23 school year. We look forward to another wonderful year of learning and growth. Hebrew school is on Sundays from 10:00 AM-12:00 PM. NEW STUDENTS CLICK HERE Child 1 Name Last Name First Name Hebrew Name (if unknown / none, write 'unknown' or 'none') Grade Entering Grade Entering Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Time of Birth AMPM Does your child have allergies? (Food or medication) No Yes - What Kind? Does your child take medication regularly? No Yes - What Kind? Does your child have an IEP? No Yes Please list the details of the IEP and any special services your child receives Please list any special needs(physical, developmental, learning, emotional, behavioral) that may require special awareness from our staff? Child 2 Name Last Name First Name Hebrew Name (if unknown / none, write 'unknown' or 'none') Grade Entering Grade Entering Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Time of Birth AMPM Does your child have allergies? (Food or medication) No Yes - What kind? Does your child take medication regularly? No Yes - What Kind? Does your child have an IEP? No Yes Please list the details of the IEP and any special services your child receives Please list any special needs(physical, developmental, learning, emotional, behavioral) that may require special awareness from our staff? Child 3 Name Last Name First Name Hebrew Name (if unknown / none, write 'unknown' or 'none') Grade Entering Grade Entering Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth DOB Month Jan. Feb. Mar. Apr. May Jun. Jul. Aug. Sept. Oct. Nov. Nov. Dec. Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Time of Birth AMPM Does your child have allergies? (Food or medication) No Yes - What kind? Does your child take medication regularly? No Yes - What Kind? Does your child have an IEP? No Yes Please list the details of the IEP and any special services your child receives Please list any special needs(physical, developmental, learning, emotional, behavioral) that may require special awareness from our staff? Tuition Information Member Registration Family Membership $900 - includes 3 free seats at the HH services + 50% off Hebrew school tuition-$362.5 per child for up to 2 kids. $900+$362.5 per CHS child. Platinum Membership $1,800- includes basic membership, unlimited seating and two tickets to an exclusive donor evening, free CHS tuition(for 2 kids) In order to receive these membership benefits, please CLICK HERE to open a page for membership application. First complete this form and then go to the membership tab that was opened on the top of your screen. Non-Member Registration $700 + $25 Book Fee ** There are many different membership options and many perks that come along with membership. Call 516.764.7385 Payment Information PAYMENT METHOD Paid Membership Please Charge My Card Below Name on Card Billing Address Billing Zip Credit Card Type Credit Card Number Exp Date CVV Additional Comments 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! This page uses 128 bit SSL encryption to keep your data secure.