If you have any questions or concerns you would like to discuss with us, please feel free to contact us. Register by May 25th to secure this rate. We look forward to a wonderful year of learning and growth. No. of Students registering* Student Profile 1 Registration Type* New StudentReturning Student Full Name* First Name Last Name Hebrew Name* If unknown / none, write 'unknown' or 'none' Age* Date of Birth* Include approx. time of birth Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM School* Grade Entering* Pre-KKindergartenFirstSecondThirdFourthFifthSixthSeventh Please enter any changes from previous year Hebrew Reading Proficiency * NoneSomewhatWell Previous Jewish Education* YesNo Where?* Does your child have allergies?* Food or medication YesNo Please describe allergies* Does your child take medication regularly?* YesNo Please outline medication* Does your child have an IEP? * YesNo Please list the details of the IEP and any special services your child receives* Please list any special needs that may require special awareness from our staff* Special needs including physical, developmental, learning, emotional or behavioral Student Profile 2 Registration Type* New StudentReturning Student Full Name* First Name Last Name Hebrew Name* If unknown / none, write 'unknown' or 'none' Age* Date of Birth* Include approx. time of birth Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM School* Grade Entering* Pre-KKindergartenFirstSecondThirdFourthFifthSixth Please enter any changes from previous year Hebrew Reading Proficiency * NoneSomewhatWell Previous Jewish Education* YesNo Where?* Does your child have allergies?* Food or medication YesNo Please describe allergies* Does your child take medication regularly?* YesNo Please outline medication* Does your child have an IEP? * YesNo Please list the details of the IEP and any special services your child receives* Please list any special needs that may require special awareness from our staff* Special needs including physical, developmental, learning, emotional or behavioral Student Profile 3 Registration Type* New StudentReturning Student Full Name* First Name Last Name Hebrew Name* If unknown / none, write 'unknown' or 'none' Age* Date of Birth* Include approx. time of birth Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM School* Grade Entering* Pre-KKindergartenFirstSecondThirdFourthFifthSixth Please enter any changes from previous year Hebrew Reading Proficiency * NoneSomewhatWell Previous Jewish Education* YesNo Where?* Does your child have allergies?* Food or medication YesNo Please describe allergies* Does your child take medication regularly?* YesNo Please outline medication* Does your child have an IEP? * YesNo Please list the details of the IEP and any special services your child receives* Please list any special needs that may require special awareness from our staff* Special needs including physical, developmental, learning, emotional or behavioral Parent Information Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Father* First Name Last Name Father's Occupation* Father's Cell* Area Code Phone Number Father's Email* Mother* First Name Last Name Mother's Occupation* Mother's Cell* Area Code Phone Number Mother's Email* Mother born Jewish? * YesNo Converted by whom?* Referred by* Emergency Information Emergency Contact 1* First Name Last Name Phone Number* Area Code Phone Number Emergency Contact 2* First Name Last Name Phone Number* Area Code Phone Number Doctor's Name* Doctor's Phone Number * Area Code Phone Number Medical Insurance Company* Bat Mitzvah Club Parents of incoming 6th grade girls, please make note of the following: We're excited to welcome your child into our Bat Mitzvah club. The Bat Mitzvah club meets once a month with a goal of discovering what it means to become a strong Jewish woman. This club is required for a Bat Mitzvah girl. Commit I commit to Bat Mitzvah club once a month on Tuesdays at 7:00 pm. (Calendar will be emailed to all attendees) Shabbat Experience We are excited to implement a Shabbat experience for our CHS families on the first Shabbat of the month, which is thoughtfully crafted to provide you with a joyful, easy-to-follow, and interactive experience, making you feel at ease and engaged with the prayers and songs while your kids enjoy a fun and engaging program. Commit We commit to attending the Shabbat experience monthly. Tuition Information Non members CHS Tuition: $800 (includes book fee) Members CHS Tuition $550 (includes book fee) Family Membership: $950 Includes a discounted Hebrew School rate and a variety of additional perks. Select "Member Registration" below to view full benefits. Fees (per family) $100 security fee $100 registration fee Referral Bonus: If you refer a friend, let us know, and you'll receive a $25 discount. Registration Type* Member registrationNon Member registration Membership Status* I would like to renew my membershipI would like to become a new member Membership Benefits Free High Holiday Services (refer below for details) A family member receives an honor during High Holiday Services A box of Shmurah Matzah for Pesach $150 discount on Preschool Discount in Hebrew School 20% discount on most events and programs 30% discount on Bar/Bat Mitzvah fees (after 1st year of membership – must be enrolled in our Hebrew School) Menorah & Candles for Chanukah mailed to college age children at school Shiva services Belonging to amazing Jewish community & building lifelong friendships. Membership Packages Membership Package* Family Membership - $950Platinum Membership - $1,800 Family Info Please indicate any information that needs to be updated from last year* Comments* Parent and children info will be included in your membership package as input above. Father's Hebrew Name* Mother's Hebrew Name* Marital Status* MarriedDivorcedWidowedSingle Which are you?* KohenLeviteIsraelite No. of additional children (not input above)* Additional Child 1* First Name Last Name Hebrew Name* Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* BoyGirl Additional Child 2* First Name Last Name Hebrew Name* Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* BoyGirl Additional Child 3* First Name Last Name Hebrew Name* Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* BoyGirl Additional Child 4* First Name Last Name Hebrew Name* Birth Date* 1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Month12345678910111213141516171819202122232425262728293031 Day20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Year Gender* BoyGirl 1 Child - Non Member 2 Child - Non Member 3 Child - Non Member Early Bird Discount 1 Child - Member 2 Child - Member 3 Child - Member Current Date Month Day Year Registration Fee Security Fee Total $0.00 Payment Options Payment Options* I would like to pay the full amount todayI would like to set up a payment plan Total Amount to charge today* Amount to charge monthly* Payment ⚠ You have not yet connected a credit card processor.Credit Card Check Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearBilling Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country CVV Security Code Referral Discount I referred a family. Please apply referral discount. Name of Family Referred* Additional Comments Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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